Individual
OMNIA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 9TH ST, CORALVILLE, IA 52241-1575
(319) 800-5564
Mailing address
2240 9TH ST, CORALVILLE, IA 52241-1575
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108761
IA
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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