Individual
ABUALALAA MUSTAFA FADLELMULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4038 W PURDUE AVE, PHOENIX, AZ 85051-1071
(480) 544-1691
Mailing address
4038 W PURDUE AVE, PHOENIX, AZ 85051-1071
(480) 544-1691
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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