Individual
MR. YAAGOUB EISA SALIH II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
Y.S
Contact information
Practice address
1750 E GAYLON DR, TEMPE, AZ 85282-2719
(480) 255-8817
Mailing address
1750 E GAYLON DR, TEMPE, AZ 85282-2719
(480) 255-8817
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D02291055
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
534465
—
AZ
Enumeration date
10/22/2010
Last updated
10/22/2010
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