Individual
ISTAHIL MOHAMED ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17862 ESSEX LN, LAKEVILLE, MN 55044-4825
(612) 472-2983
Mailing address
17862 ESSEX LN, LAKEVILLE, MN 55044-4825
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2482832
MN
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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