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Individual

ELIASSHA SELAH MUQTADIRAH JIHAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3215 W RAY RD, CHANDLER, AZ 85226-2425
(480) 893-7685
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
AZ

Other

Enumeration date
06/02/2025
Last updated
06/18/2025
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