Individual
JAMA MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4981 MARSH RD, MCFARLAND, WI 53558-8630
(817) 323-6760
Mailing address
430 MENDOTA RD W APT 216, SAINT PAUL, MN 55118-4761
(817) 323-6760
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0020340
WI
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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