Individual
RAED ALGHANIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16728 N 173RD AVE, SURPRISE, AZ 85388-0258
(480) 522-9668
Mailing address
16728 N 173RD AVE, SURPRISE, AZ 85388-0258
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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