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Individual

MOHAMED AID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
709 S 122ND AVE, AVONDALE, AZ 85323-8419
(520) 528-8062
Mailing address
6840 E 12TH ST, TUCSON, AZ 85710-1014

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
3104A0625X
Assisted Living Facility (Mental Illness)

Other

Enumeration date
02/01/2024
Last updated
02/02/2024
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