Individual provider · NPI-1

Mohammed Adem Aliyu, RPH

Counselor, Professional · Bullhead City, AZ

NPI number1255840229
StatusActive
Last updated in NPPESSep 21, 2017

Details

NPI
1255840229
Entity type
Individual (NPI-1)
Name
Mohammed Adem Aliyu
Credential
RPH
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 21, 2017
Last updated
Sep 21, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes

Practice location

3699 Hway 95
Bullhead City, AZ 86442-9118

Phone 928-704-5065 · Fax 928-704-5075

Mailing address

3699 Hway 95
Bullhead City, AZ 86442-9118

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