Individual
MUSTAFE ABDI ISMAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
635 HILLTOP AVE APT C8, OWATONNA, MN 55060-2700
(507) 213-1575
Mailing address
635 HILLTOP AVE APT C8, OWATONNA, MN 55060-2700
(507) 213-1575
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
R338197355114
MN
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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