FOWSIA S ISSE

MINNEAPOLIS, MN
NPI1407219645
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy302R00000X Health Maintenance Organization
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2016-04-04
Last Update Date2016-04-04
Business Address
FOWSIA S ISSE
5519 LYNDALE AVE N
MINNEAPOLIS, MN 55430-3216
Phone number: 612-978-7470
Mailing Address
FOWSIA S ISSE
324 JOLLY LN NE
MINNEAPOLIS, MN 55421-5049
Phone number: 612-978-7470
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