NPI 1013759018

Hussein Ismail Mohamed

Practitioner Home Health Aide Saint Paul, MN

Practice location

Address: 500 Tedesco St APT 507, Saint Paul, MN 55130-4556
Phone: (651) 502-3807
Mailing address: 3617 E Lake St STE B, Minneapolis, MN 55406-2148

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1013759018
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2024
Record last updated: 10 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.