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Contact Information

AMARA JABATEH, MANAGER/CO-OWNER
10145 W CORDES RD
TOLLESON, AZ85353-8443
 Phone: 602-477-9735
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for AMARA JABATEH · (Male)

NPI Number 1417737891
Status Active
Credentials MANAGER/CO-OWNER
Entity Individual
Enumeration date 10/03/2023
Last updated 10/03/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # SLH11190
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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