Individual
SIMAN MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7112 N 73RD DR, GLENDALE, AZ 85303-2569
(602) 696-4432
Mailing address
PO BOX 61751, PHOENIX, AZ 85082-1751
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
L21670511
AZ
Other
Enumeration date
03/18/2017
Last updated
03/18/2017
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