Individual
FARDOWSA AHMED BARKADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 13TH AVE APT B, GREELEY, CO 80631-5492
(970) 301-9367
Mailing address
1919 13TH AVE APT B, GREELEY, CO 80631-5492
(970) 301-9367
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
NO INSURANCE CARD
—
Enumeration date
05/20/2020
Last updated
05/20/2020
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