Individual
SHUKRI IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2313 W 19TH ST APT 1, SIOUX CITY, IA 51103-2335
(712) 259-1735
Mailing address
2313 W 19TH ST APT 1, SIOUX CITY, IA 51103-2335
(712) 259-1735
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
IA
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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