Individual
ABDUAHMAN W JAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MANAGER
Contact information
Practice address
7400 METRO BLVD STE 150, EDINA, MN 55439-2301
(529) 222-5477
(952) 222-5418
Mailing address
7400 METRO BLVD STE 150, MINNEAPOLIS, MN 55439-2301
(952) 222-5477
(952) 222-5477
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
388010
MN
374U00000X
Home Health Aide
—
MN
376G00000X
Nursing Home Administrator
388010
MN
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251J00000X
HOME HEALTH AGENCY
MN
Enumeration date
08/17/2015
Last updated
05/05/2020
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