Individual
ILHAAN AHMED JAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4088 OAKBROOKE ALCOVE, EAGAN, MN 55122-5503
(763) 706-7438
Mailing address
4088 OAKBROOKE ALCOVE, EAGAN, MN 55122-5503
(763) 706-7438
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
Q727154706916
MN
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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