Individual
NASIR ADAM IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4009 S 12TH AVE, TUCSON, AZ 85714-1452
(520) 369-1752
Mailing address
4009 S 12TH AVE, TUCSON, AZ 85714-1452
(520) 369-1752
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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