Individual
RAMLA ALI IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3505 8TH ST S STE 4, MOORHEAD, MN 56560-5108
(701) 936-1758
Mailing address
850 44TH AVE S APT 315, MOORHEAD, MN 56560-6791
(701) 936-1758
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487283
—
ND
Enumeration date
01/16/2023
Last updated
01/16/2023
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