Most Relevant Information
Provider Data
| NPI Number: | 1003526336 |
| Provider Name: | NASHALAE COLUM |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/28/2022 |
| Last Updated: | 11/28/2022 |
Provider Practice Location
16402 N 31ST ST UNIT 217
PHOENIX
AZ
850323096
Practice Location Phone/Fax
| Phone: | 4807811260 |
| Fax: |
Provider Mailing Location
16402 N 31ST ST UNIT 217
PHOENIX
AZ
850323096
Provider Mailing Phone/Fax
| Phone: | 4807811260 |
| Fax: |