Individual
SAHARO SHARIF-ISAACK X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6480 RIVERVIEW TERRENCE, FRIDLEY, MN 55432-1170
(612) 205-4707
Mailing address
6480 RIVERVIEW TERRENCE, FRIDLEY, MN 55432-1170
(612) 205-4707
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N/A
—
ME
Enumeration date
07/08/2014
Last updated
09/08/2023
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