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Individual

IDIL MOHAMED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1425 W RUNNING BROOK RD, NASHVILLE, TN 37209-5045
(651) 354-3596
Mailing address
1425 W RUNNING BROOK RD, NASHVILLE, TN 37209-5045
(651) 354-3596

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
I00000003004
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q071509
TN
Enumeration date
02/08/2022
Last updated
02/08/2022
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