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Individual

HEBA MAZIN AL-SAHLANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
901 E WILLETTA ST FL 3, PHOENIX, AZ 85006-2528
(602) 839-6900
Mailing address
901 E WILLETTA ST FL 3, PHOENIX, AZ 85006-2528
(602) 839-6900

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-11818
NC
363A00000X
Physician Assistant
Primary
11012
AZ
363A00000X
Physician Assistant
MA062992
PA
363A00000X
Physician Assistant
OA005859
PA
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15449281
CAQH
Enumeration date
09/17/2021
Last updated
07/18/2025
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