Individual provider · NPI-1

Abdikarim Abdille

Contractor, Vehicle Modifications · Minneapolis, MN

NPI number1104287663
StatusActive
Last updated in NPPESMar 11, 2016

Details

NPI
1104287663
Entity type
Individual (NPI-1)
Name
Abdikarim Abdille
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 11, 2016
Last updated
Mar 11, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171WV0202X Contractor, Vehicle Modifications––Yes

Practice location

521 Lyn Park Cir N
Minneapolis, MN 55411

Phone 763-337-9023 · Fax 612-886-2840

Mailing address

521 Lyn Park Cir N
Minneapolis, MN 55411-3327

Phone 763-337-9023 · Fax 612-886-2840

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