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Individual

MR. KHALID MUTWAKIL HASSAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1710 S JENTILLY LN, APT 3, TEMPE, AZ 85281-5750
(602) 348-5754
(602) 606-7932
Mailing address
1710 S JENTILLY LN, APT 3, TEMPE, AZ 85281-5750
(602) 348-5754
(602) 606-7932

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
443829
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
443829
MEDICAL TRANSPORTATION PROVIDER NUMBER
AZ
Enumeration date
09/02/2009
Last updated
09/02/2009
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