Individual
MOUNIR AYOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10255 MADISON ST NE, BLAINE, MN 55434-4229
(651) 367-9906
Mailing address
10255 MADISON ST NE, BLAINE, MN 55434-4229
(651) 367-9906
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R199206-5
MN
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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