Individual
MR. ELMAHI ABDELDAIEM ELMAHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
661 W LIBERTY LN, GILBERT, AZ 85233-8428
(602) 860-7558
Mailing address
661 W LIBERTY LN, GILBERT, AZ 85233-8428
(602) 860-7558
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
87-1355981
AZ
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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