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Individual

HABIBA DJUMAPILI MAULIDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18444 N 25TH AVE STE 420, PHOENIX, AZ 85023-1268
(480) 534-0605
Mailing address
18444 N 25TH AVE STE 420, PHOENIX, AZ 85023-1268
(480) 534-0605

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
372600000X
Adult Companion
Primary
374U00000X
Home Health Aide

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1255915344
NPI
AZ
Enumeration date
05/07/2021
Last updated
05/07/2021
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