Individual
KHADIR T ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 SELBY AVE STE M, SAINT PAUL, MN 55102-4520
(952) 210-4481
Mailing address
16419 KISKA ST NE, ANDOVER, MN 55304-7566
(952) 210-4481
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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