Individual provider · Type 1 NPI

Macki Mohammed

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1104510395 Active

Practice location

4902 N 19th Ave
Phoenix, AZ 85015-3440

Call (605) 214-8632 Map

Mailing address

7004 S 58th Ave
Laveen, AZ 85339-2265

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1104510395

Macki Mohammed's National Provider Identifier is 1104510395, issued on Jun 8, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 8, 2023.