Individual
ABDULLAH ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6651 CHIPPEWA ST STE 308, SAINT LOUIS, MO 63109-2532
(314) 685-4328
Mailing address
6651 CHIPPEWA ST STE 308, SAINT LOUIS, MO 63109-2532
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MO
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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