ABDIFATAH MOHAMED HASSAN

MILWAUKEE, WI
NPI1669156402
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: WI  M5320008600115)
Enumeration Date2023-06-12
Last Update Date2023-06-12
Business Address
ABDIFATAH MOHAMED HASSAN
5068 S 14TH ST
MILWAUKEE, WI 53221-3536
Phone number: 414-719-6723
Mailing Address
ABDIFATAH MOHAMED HASSAN
5068 S 14TH ST
MILWAUKEE, WI 53221-3536
Phone number: 414-719-6723