Individual
NASRA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5765 178TH ST W # NA, LAKEVILLE, MN 55044-5191
(952) 200-7462
(952) 963-0963
Mailing address
5765 178TH ST W # NA, LAKEVILLE, MN 55044-5191
(952) 200-7462
(952) 963-0963
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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