Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIDRE LAURENT
Active Sole ProprietorTIDRE LAURENT is a Bus healthcare provider located in GLENDALE, Arizona. NPI 1053008359 is currently active in the NPPES registry. Verify at CMS.
Bus · GLENDALE, AZ
Registration Details
- NPI Number
- 1053008359
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2023 (3.3121622187315 yrs)
- Last Updated
- Apr 18, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
4480 W PEORIA AVE STE 108GLENDALE, AZ, 853022022Browse AZ providers · Browse ZIP 85302
- Phone
- 6029220662
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in GLENDALE, AZ
| Name | Credential | NPI |
|---|---|---|
| SABIR O MOHAMED | OWNER | 1033424668 |
| AHMED MOHAMED DFAALLA | — | 1629467683 |
| RAAD IBRAHIM | — | 1760965776 |
| HAMID ISSA | — | 1497338404 |
| MAYS ALBAIATY | — | 1003564758 |
| FREDDIE SMITH | — | 1093413775 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.