Individual provider · NPI-1

Mustafa Arbab

Technician, Attendant Care Provider · Phoenix, AZ

NPI number1417468075
StatusActive
Last updated in NPPESMay 16, 2025

Details

NPI
1417468075
Entity type
Individual (NPI-1)
Name
Mustafa Arbab
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 22, 2017
Certification date
May 16, 2025
Last updated
May 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes
172A00000X Driver––

Practice location

2142 W Osborn Rd
Phoenix, AZ 85015-5731

Phone 602-653-4277

Mailing address

2142 W Osborn Rd
Phoenix, AZ 85015-5731

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