Individual
AYAN JAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 106TH AVE NW, COON RAPIDS, MN 55433
(763) 568-8630
Mailing address
2400 106TH AVE NW, COON RAPIDS, MN 55433
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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