SHAKUR ABDISALAM

BLOOMINGTON, MN
NPI1194326942
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
(Licence: MN  397226)
Enumeration Date2020-11-06
Last Update Date2020-11-06
Business Address
-- SHAKUR ABDISALAM
1440 E OLD SHAKOPEE RD
BLOOMINGTON, MN 55425-2438
Phone number: 952-201-4493
Mailing Address
-- SHAKUR ABDISALAM
1440 E OLD SHAKOPEE RD
BLOOMINGTON, MN 55425-2438
Phone number: 952-201-4493