Individual
UBAH MUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8425 DUPONT AVE N, BROOKLYN PARK, MN 55444-2714
(095) 284-6801
Mailing address
8425 DUPONT AVE N, BROOKLYN PARK, MN 55444-2714
(095) 284-6801
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
MUS869181
ND
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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