NPI 1043055619

Ibrahim Ibrahim

Practitioner Adult Companion Columbia Heights, MN

Practice location

Address: 562 Huset Pkwy NE, Columbia Heights, MN 55421-5030
Phone: (612) 363-4252

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

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Registry record

NPI: 1043055619
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2024
Record last updated: 26 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.