Provider Demographics
NPI:1063261816
Name:ABDUL-AZEEM, ZAKIYYAH MALIKAH (ND)
Entity type:Individual
Prefix:
First Name:ZAKIYYAH
Middle Name:MALIKAH
Last Name:ABDUL-AZEEM
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2918 HOYT AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-4251
Mailing Address - Country:US
Mailing Address - Phone:478-955-3184
Mailing Address - Fax:
Practice Address - Street 1:2918 HOYT AVE APT 102
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4251
Practice Address - Country:US
Practice Address - Phone:478-955-3184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANATU.NT.61554553175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath