Individual
MARYAM ALIZADEH-MIAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6012 W BLACKHAWK DR, GLENDALE, AZ 85308-6704
(480) 501-8084
Mailing address
6012 W BLACKHAWK DR, GLENDALE, AZ 85308-6704
(480) 501-8084
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025742
AZ
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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