ISTAHIL MOHAMED ALI
Individual Provider (NPI-1)
Active
Registered Nurse, Home Health
Provider Information
- NPI Number
1225865660- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 17862 ESSEX LN, LAKEVILLE, MN, 550444825
- Phone
- (612) 472-2983
Specialties & Taxonomies
Registered Nurse, Home Health
Primary License: MN #2482832
All Addresses
MAILING
17862 ESSEX LN
LAKEVILLE, MN, 550444825