Individual
LAIDE ADIJAT MUSTAPHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
449 E CENTER ST APT 419, ROCHESTER, MN 55904-3829
(763) 221-5317
Mailing address
1554 MIDWAY PKWY APT 443, SAINT PAUL, MN 55108-2464
(763) 221-5317
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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