Individual
AHMED MOHAMED DFAALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4624 W PARADISE DR, GLENDALE, AZ 85304-3029
(602) 772-7051
Mailing address
4624 W PARADISE DR, GLENDALE, AZ 85304-3029
(602) 772-7051
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
696286
AZ
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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