MOATASEM AZZAM

ANTHONY, NM
NPI1578446613
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-07-28
Last Update Date2025-07-28
Business Address
MOATASEM AZZAM
205 FIRST ST
ANTHONY, NM 88021-7382
Phone number: 575-201-5700
Mailing Address
MOATASEM AZZAM
205 FIRST ST
ANTHONY, NM 88021-7382
Phone number: 575-201-5700