MOHAMED A IBRAHIM

MANKATO, MN
NPI1972115962
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: MN  172V00000X)
Enumeration Date2020-08-20
Last Update Date2020-08-20
Business Address
MOHAMED A IBRAHIM
1025 MARSH ST
MANKATO, MN 56001-4752
Phone number: 507-514-8604
Mailing Address
MOHAMED A IBRAHIM
1025 MARSH ST
MANKATO, MN 56001-4752
Phone number: