Individual
CARMEN KALYOUSSEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1348 E COLTER ST, PHOENIX, AZ 85014-3007
(602) 653-6952
Mailing address
1348 E COLTER ST, PHOENIX, AZ 85014-3007
(602) 653-6952
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL13311H
AZ
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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