Individual
SHUKRI IDIRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4020 MINNEHAHA AVE STE 2020, MINNEAPOLIS, MN 55406-4529
(651) 200-3768
Mailing address
4020 MINNEHAHA AVE STE 2020, MINNEAPOLIS, MN 55406-4529
(651) 200-3768
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1104507
MN
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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