Individual
IFRAH ALI AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4917 BAKER RD, MINNETONKA, MN 55343-4550
(952) 935-5325
Mailing address
4917 BAKER RD, MINNETONKA, MN 55343-4550
(952) 935-5325
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
P356156515014
MN
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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