Individual
HABIBA ALI NUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANGER
Contact information
Practice address
155 S 300 W, SALT LAKE CITY, UT 84101-1217
(801) 467-6060
(801) 486-3007
Mailing address
1074 W 4175 S, RIVERDALE, UT 84405-2615
(801) 467-6060
(801) 486-3007
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/25/2011
Last updated
12/17/2012
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