Individual
ABDIMALIK DAHIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4612 W PIEDMONT RD, LAVEEN, AZ 85339-2096
(949) 302-1283
Mailing address
4612 W PIEDMONT RD, LAVEEN, AZ 85339-2096
(949) 302-1283
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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