Individual
SIFEN M ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12664 CENTRAL AVE NE APT 215, BLAINE, MN 55434-4814
(612) 814-1085
Mailing address
12664 CENTRAL AVE NE APT 215, BLAINE, MN 55434-4814
(612) 814-1085
Taxonomy
Speciality
Code
Description
License number
State
364ST0500X
Transplantation Clinical Nurse Specialist
Primary
1386376600028
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
923110645
NON EMERGENCY MEDICAL TRANSPORTATION SERVICES
MN
Enumeration date
12/01/2023
Last updated
12/01/2023
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