Individual
ANAB ALI IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3540 W GERMAIN ST APT 206, SAINT CLOUD, MN 56301-7353
(612) 578-6518
Mailing address
3540 W GERMAIN ST APT 206, SAINT CLOUD, MN 56301-7353
(612) 578-6518
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
771785100027
MN
Other
Enumeration date
04/22/2017
Last updated
04/22/2017
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