Individual
MR. ELSADIG MAHMOUD OMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6416 W TOWNLEY AVE, GLENDALE, AZ 85302-4428
(602) 358-6858
Mailing address
6416 W TOWNLEY AVE, GLENDALE, AZ 85302-4428
(602) 358-6858
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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