Individual
SAID ISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1921 SMITH CIR, WAYZATA, MN 55391-2118
(952) 303-5973
(952) 843-5643
Mailing address
1921 SMITH CIR, WAYZATA, MN 55391-2118
(952) 303-5973
(952) 843-5643
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
396369
MN
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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