NPI 1164107074

Liban Cumar Jusuf

Practitioner Driver Minneapolis, MN

Practice location

Address: 1817 Nicollet Avenue S STE, Minneapolis, MN 55403
Phone: (612) 354-9956

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1164107074
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2023
Record last updated: 19 Jun 2023

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.