Individual
WALID JOSE JAMALEDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 NEW BRIGHTON BLVD, MINNEAPOLIS, MN 55413-1643
(612) 781-7746
Mailing address
11316 CHISHOLM CIR NE UNIT B, BLAINE, MN 55449-4558
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123972
MN
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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