Individual
NURADIN ABUBAKAR AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8112 WENTWORTH AVE S, BLOOMINGTON, MN 55420-1109
(612) 269-1495
Mailing address
8112 WENTWORTH AVE S, BLOOMINGTON, MN 55420-1109
(612) 269-1495
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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