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Individual

SAMI A FADLELMULA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
TRANSPORTAITION

Contact information

Practice address
4201 W SURREY AVE, PHOENIX, AZ 85029-1974
(602) 435-4443
(602) 439-2268
Mailing address
4201 W SURREY AVE, PHOENIX, AZ 85029-1974
(602) 435-4443
(602) 439-2268

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
115387
AZ

Other

Enumeration date
10/28/2007
Last updated
10/28/2007
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