Individual
LINDA MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
914 E BROADWAY RD # 1080, TEMPE, AZ 85282-1502
(602) 502-8388
Mailing address
914 E BROADWAY RD # 1080, TEMPE, AZ 85282-1502
(602) 502-8388
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D07682065
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33-3731432
—
AZ
01
—
333731432
NEMT
AZ
Enumeration date
03/03/2025
Last updated
03/03/2025
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