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Individual

MRS. LAKISA QUINETTE MUHAMMAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM, LM

Contact information

Practice address
17180 N MORENO PL, MARICOPA, AZ 85138-1879
(602) 429-9501
Mailing address
17180 N MORENO PL, MARICOPA, AZ 85138-1879
(602) 429-9501

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
176B00000X
Midwife
Primary
LM234
AZ

Other

Enumeration date
09/06/2018
Last updated
04/14/2020
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