Individual
SHUKRI DAUD IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 E RAILROAD AVE, FORT MORGAN, CO 80701-3330
(720) 400-4736
Mailing address
PO BOX 1102, FORT MORGAN, CO 80701-1102
(720) 400-4736
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/01/2020
Last updated
09/12/2023
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