Individual
MAHADO ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 MARIE AVE E STE 210, SAINT PAUL, MN 55118-5932
(651) 352-9910
(651) 351-1150
Mailing address
60 MARIE AVE E STE 210, SAINT PAUL, MN 55118-5932
(651) 352-9910
(651) 351-1150
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A677659000
—
MN
Enumeration date
05/22/2017
Last updated
07/21/2022
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