Individual
MOHAMED A IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
3738 CHOUTEAU AVE STE 200, SAINT LOUIS, MO 63110-2546
(314) 772-8801
(314) 772-7988
Mailing address
3738 CHOUTEAU AVE STE 200, SAINT LOUIS, MO 63110-2546
(314) 772-8801
(314) 772-7988
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2008009830
MO
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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