FARDOWSA A IBRAHIM

MADISON, WI
NPI1952161929
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: WI  101)
Additional Taxonomies343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2024-03-19
Last Update Date2024-03-19
Business Address
Mrs. FARDOWSA A IBRAHIM
700 RAY O VAC DR STE 2
MADISON, WI 53711-2469
Phone number: 608-512-5569
Mailing Address
Mrs. FARDOWSA A IBRAHIM
700 RAY O VAC DR STE 2
MADISON, WI 53711-2469
Phone number: 763-250-4716