Individual
ASHRAF ALI OMER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19820 N 13TH AVE UNIT 147, PHOENIX, AZ 85027-4310
(480) 703-6105
Mailing address
19820 N 13TH AVE UNIT 147, PHOENIX, AZ 85027-4310
(480) 703-6105
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
654175
AZ
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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