| NPI | 1881351534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIFITAH NOR JAMA Owner 507-990-3783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2021-11-17 |