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Individual

HANNAN KONDEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1445 SE MESA DR, WAUKEE, IA 50263-1308
(515) 979-5074
Mailing address
1445 SE MESA DR, WAUKEE, IA 50263-1308
(515) 979-5074

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
IA

Other

Enumeration date
04/20/2026
Last updated
04/20/2026
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