Individual
ABDIQAFAR AWIL AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2836 POMONA DR, EAU CLAIRE, WI 54701-6845
(817) 856-8141
Mailing address
2836 POMONA DR, EAU CLAIRE, WI 54701-6845
(817) 856-8141
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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