NPI 1033425996

Gadeeh Fahnbulleh, HOMEMAKER

Practitioner Homemaker Brooklyn Park, MN

Practice location

Address: 7900 Zane Ave N #104, Brooklyn Park, MN 55443-2176
Phone: (651) 235-2042
Mailing address: 5775 Wayzata Blvd Suite 700, St Louis Park, MN 55416-1222

Registered specialties

Homemaker Primary

Nursing Service Related Providers Taxonomy 376J00000X

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Registry record

NPI: 1033425996
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2010
Record last updated: 28 Aug 2010

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.