Shakur Abdisalam Valid NPI
Individual provider · Home Health Agency · Bloomington, MN
- NPI
- 1194326942
- Type
- Individual (Type 1)
- Primary specialty
- Home Health Agency (Home Health)
- Specialty group
- Agencies
- Taxonomy code
- 251E00000X
- License number
- 397226 (MN)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-11-06
- Last updated
- 2020-11-06
Practice location
1440 E Old Shakopee Rd
Bloomington, MN 55425-2438
(952) 201-4493