Individual
ASAD SALAH ABDALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13200 W MANOR BLVD, BURNSVILLE, MN 55337-2047
(651) 235-7292
Mailing address
13200 W MANOR BLVD, BURNSVILLE, MN 55337-2047
(651) 235-7292
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
389371
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-2087333
ASSISTED FACILITY
MN
Enumeration date
02/19/2019
Last updated
02/20/2019
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