Individual
RIH-REH ALI USMANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7655 61ST ST S, COTTAGE GROVE, MN 55016-6004
(612) 236-7979
(651) 714-9213
Mailing address
7655 61ST ST S, COTTAGE GROVE, MN 55016-6004
(612) 236-7979
(651) 714-9213
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/14/2013
Last updated
10/18/2019
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