Organization
I-GROUPSMEDICALTRANSPORTAION@WHEELCHAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIM HASSAN IBRAHIM (OWNER)
(520) 339-3138
Entity
Organization
Contact information
Practice address
5240 EBELLEVUE APT110, TUCSON, AZ 85712-4842
(520) 339-3138
Mailing address
5240EBELLEVUEAPT110, TCSON, AZ 85712-4842
(520) 339-3138
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
3006125
AZ
343900000X
Non-emergency Medical Transport (VAN)
Primary
3006125
—
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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