Individual
ZAMZAM SHOODEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 E LAKE ST, 201, MINNEAPOLIS, MN 55408-2473
(612) 216-1511
(612) 465-6621
Mailing address
207 E LAKE ST, 201, MINNEAPOLIS, MN 55408-2473
(612) 216-1511
(612) 465-6621
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
450797000024
MN
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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