person
Macki Mohammed
Student in an Organized Health Care Education/Training Program in Phoenix, Arizona
NPI 1104510395

Macki Mohammed is a Student in an Organized Health Care Education/Training Program based in Laveen, AZ. Macki Mohammed practices in Phoenix, AZ. The NPI Number for Macki Mohammed is 1104510395 and holds a License No. (Arizona).

The current practice location address for Macki Mohammed is 4902 N 19Th Ave, Phoenix, AZ and can be reached out via phone at 605-214-8632.

Location: 4902 N 19Th Ave, Phoenix, AZ, 85339-2265
person
Provider Profile Details
NPI Number
1104510395
Provider Name
Macki Mohammed
Credential
Provider Entity Type
Individual
Gender
Male
Address
4902 N 19Th Ave, Phoenix, AZ, 85339-2265
Phone Number
605-214-8632
Fax Number
Provider Enumeration Date
06/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4902 N 19Th Ave
City
State
Zip
85015-3440
Phone Number
605-214-8632
Fax Number
person
Provider Business Mailing Address Details
Address
4902 N 19Th Ave
City
State
Zip
85015-3440
Phone Number
605-214-8632
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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