Individual
MR. ALI SHABAZZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1505 E SAHUARO DR APT 4, PHOENIX, AZ 85020-1456
(602) 405-9011
Mailing address
1505 E SAHUARO DR APT 4, PHOENIX, AZ 85020-1456
(602) 405-9011
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
07/23/2024
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