Individual
MOHAMED ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 W SAHUARO DR APT 212, PHOENIX, AZ 85029-5719
(602) 359-0002
Mailing address
1650 W SAHUARO DR APT 212, PHOENIX, AZ 85029-5719
(602) 359-0002
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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