Individual
ABDIKADAR BOURALEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 TWIN LAKE BLVD APT 114, LITTLE CANADA, MN 55127-4039
(207) 440-8021
(763) 374-8511
Mailing address
75 TWIN LAKE BLVD APT 114, LITTLE CANADA, MN 55127-4039
(207) 440-8021
(763) 374-8511
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
385117
MN
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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