Most Relevant Information
Provider Data
| NPI Number: | 1003341835 |
| Provider Name: | AMMAD RAINA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/30/2017 |
| Last Updated: | 09/07/2021 |
Provider Practice Location
5700 E HIGHWAY 90
SIERRA VISTA
AZ
856359110
Practice Location Phone/Fax
| Phone: | 5202632000 |
| Fax: |
Provider Mailing Location
5700 E HIGHWAY 90
SIERRA VISTA
AZ
856359110
Provider Mailing Phone/Fax
| Phone: | 5202632000 |
| Fax: |