Individual
MOTASSIM MOHAMED SORKATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3847 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-3930
(612) 275-5909
Mailing address
3847 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-3930
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
368296
MN
Other
Enumeration date
08/02/2014
Last updated
08/02/2014
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