Provider Demographics
NPI:1013723220
Name:JABER, RIFAT
Entity type:Individual
Prefix:
First Name:RIFAT
Middle Name:
Last Name:JABER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13306 W CLARENDON AVE
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-5922
Mailing Address - Country:US
Mailing Address - Phone:480-282-0048
Mailing Address - Fax:
Practice Address - Street 1:13306 W CLARENDON AVE
Practice Address - Street 2:
Practice Address - City:LITCHFIELD PARK
Practice Address - State:AZ
Practice Address - Zip Code:85340-5922
Practice Address - Country:US
Practice Address - Phone:480-282-0048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver