Individual
ELMIRA ALITABAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14455 W VAN BUREN ST # 100, GOODYEAR, AZ 85338-9209
(406) 671-7970
Mailing address
14455 W VAN BUREN ST # 100, GOODYEAR, AZ 85338-9209
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/02/2024
Last updated
11/04/2024
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