Individual
MOHAMED NOUR
Active
Individual
MOHAMED NOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12794H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205088
DES ARIZONA AHCCCS
AZ
Enumeration date
10/26/2023
Last updated
03/17/2025
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