Individual
AMARA JABATEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MANAGER/CO-OWNER
Contact information
Practice address
10145 W CORDES RD, TOLLESON, AZ 85353-8443
(602) 477-9735
Mailing address
10145 W CORDES RD, TOLLESON, AZ 85353-8443
(602) 477-9735
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
SLH11190
AZ
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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