Individual
GERARD IDRISSA OMARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5844 JERSEY AVENUE NORTH, CRYSTAL, MN 55428
(763) 614-0355
Mailing address
5844 JERSEY AVENUE NORTH, CRYSTAL, MN 55428
(763) 614-0355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2427542
MN
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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