NPI 1124881610

Mascid Ali Farah

Practitioner Private Vehicle Verona, WI

Practice location

Address: 142 Paoli St APT 309, Verona, WI 53593-1412
Phone: (786) 626-7302

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence F600-5418-0501-00

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Registry record

NPI: 1124881610
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2024
Record last updated: 6 Feb 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.