Individual
SAMUELBHAI SUNILBHAI MACWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 521-5977
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 521-5977
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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