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Individual

AKRAM MOHAMEDNOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2105 S ESPINA ST APT 1, LAS CRUCES, NM 88001-5550
(720) 427-8711
Mailing address
4040 E MCDOWELL RD, PHOENIX, AZ 85008-4414
(720) 427-8711

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
84-3832814
NM
Enumeration date
12/02/2019
Last updated
12/02/2019
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