NPI 1639826662

Jamal Ali Omar

Practitioner Transportation Network Company Saint Paul, MN

Practice location

Address: 428 Central Ave W, Saint Paul, MN 55103-2248
Mailing address: 743 Lafond Ave, Saint Paul, MN 55104-1606

Registered specialties

Transportation Network Company Primary

Transportation Services Taxonomy 342000000X Licence C153041120609 (MN)

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Registry record

NPI: 1639826662
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Mar 2022
Record last updated: 29 Mar 2022

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.