NPI 1376392381

Fadi Tamer

Practitioner Assisted Living Facility Glendale, AZ

Practice location

Address: 6538 W Oraibi Dr, Glendale, AZ 85308-7045
Phone: (602) 300-5474

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AL10950H (AZ)

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Registry record

NPI: 1376392381
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 May 2024
Record last updated: 14 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.