Individual
ANYA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5714 CARUTH HAVEN LN APT 222, DALLAS, TX 75206-1928
(501) 786-3648
Mailing address
5714 CARUTH HAVEN LN APT 222, DALLAS, TX 75206-1928
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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