Individual
MS. IDIL AHMED MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
393 DUNLAP ST N, STE 400M, SAINT PAUL, MN 55104-4200
(612) 203-3638
(651) 348-8158
Mailing address
393 DUNLAP ST N, STE 400M, SAINT PAUL, MN 55104-4200
(612) 203-3638
(651) 348-8158
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
372823
MN
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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