Individual
MS. AISHA J OMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
727 S 41ST ST, LOUISVILLE, KY 40211-2839
(502) 775-9037
Mailing address
727 S 41ST ST, LOUISVILLE, KY 40211-2839
(502) 775-9037
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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