NPI 1972115962

Mohamed a Ibrahim

Practitioner Community Health Worker Mankato, MN

Practice location

Address: 1025 Marsh St, Mankato, MN 56001-4752
Phone: (507) 514-8604

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 172V00000X (MN)

Other Community Health Worker providers in Minnesota →

Registry record

NPI: 1972115962
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2020
Record last updated: 20 Aug 2020

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.