Individual
ROBERA KASSIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11202 N 78TH DR, PEORIA, AZ 85345-1072
(480) 622-7968
Mailing address
11202 N 78TH DR, PEORIA, AZ 85345-1072
(480) 622-7968
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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