Individual
ABDIFATAH SHUKRI HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4831 COLUMBIA RD APT 202, NORTH OLMSTED, OH 44070-3621
(216) 266-7658
Mailing address
4831 COLUMBIA RD APT 202, NORTH OLMSTED, OH 44070-3621
(216) 266-7658
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
JWZ4334
OH
343900000X
Non-emergency Medical Transport (VAN)
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Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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