Individual
MOHAMED ALEHAIDEB ABDALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 W PEORIA AVE # 209, PHOENIX, AZ 85029-4986
(602) 427-8813
Mailing address
1606 W PEORIA AVE APT 209, PHOENIX, AZ 85029-5710
(602) 427-8813
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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