Individual
MRS. MANAL M. ELBASHEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
809 W LIBRA DR, TEMPE, AZ 85283-2724
(480) 232-8025
(480) 517-4828
Mailing address
809 W LIBRA DR, TEMPE, AZ 85283-2724
(480) 232-8025
(480) 517-4828
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
147848
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147848
AHCCCS PROVIDER NUMBER
AZ
Enumeration date
11/02/2007
Last updated
11/02/2007
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