Individual
MUBARK HUSSEN WAKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
799 REANEY AVE, SAINT PAUL, MN 55106-4412
(855) 324-7843
Mailing address
799 REANEY AVE, SAINT PAUL, MN 55106-4412
(855) 324-7843
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
Y000083822100
MN
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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