IBRAHIM ELLITHY

SUN CITY, AZ
NPI1992305890
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
Additional Taxonomies222Z00000X Orthotist
Enumeration Date2020-10-29
Last Update Date2020-10-29
Business Address
IBRAHIM ELLITHY CPO
10615 W THUNDERBIRD BLVD STE D165
SUN CITY, AZ 85351-3033
Phone number: 623-977-2221
Mailing Address
IBRAHIM ELLITHY CPO
17431 N 83RD DR
PEORIA, AZ 85382-8083
Phone number: 623-302-0919