Individual
GEMACHU MOHAMMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1414 E DUNBAR DR, PHOENIX, AZ 85042-5671
(602) 642-2000
Mailing address
1414 E DUNBAR DR, PHOENIX, AZ 85042-5671
(602) 642-2000
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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