Provider Demographics
NPI:1861865222
Name:ABDELHAY, REEM
Entity Type:Individual
Prefix:
First Name:REEM
Middle Name:
Last Name:ABDELHAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2260 E FRY BLVD STE D5
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-2732
Mailing Address - Country:US
Mailing Address - Phone:602-303-0819
Mailing Address - Fax:
Practice Address - Street 1:2260 E FRY BLVD STE D5
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-2732
Practice Address - Country:US
Practice Address - Phone:602-303-0819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-07
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ633480172A00000X
AZ4402342000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company
No172A00000XOther Service ProvidersDriver