Individual
ABUBAKAR M MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASE MANAGER
Contact information
Practice address
1627 S ORCHARD ST STE 130, BOISE, ID 83705-2812
(208) 761-6904
Mailing address
1627 S ORCHARD ST STE 130, BOISE, ID 83705-2812
(208) 761-6904
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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