Individual provider · NPI-1

Raed Alghanim

Home Health · Surprise, AZ

NPI number1609613850
StatusActive
Last updated in NPPESJul 12, 2024

Details

NPI
1609613850
Entity type
Individual (NPI-1)
Name
Raed Alghanim
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 12, 2024
Certification date
Jul 12, 2024
Last updated
Jul 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

16728 N 173rd Ave
Surprise, AZ 85388-0258

Phone 480-522-9668

Mailing address

16728 N 173rd Ave
Surprise, AZ 85388-0258

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