Nasrah Jamal Tifow
Technician/Technologist in Richfield, MN. Individual provider (NPI-1).
NPI number1104636612
StatusActive
Last updated in NPPESJan 8, 2025
Details
- NPI
- 1104636612
- Entity type
- Individual (NPI-1)
- Name
- Nasrah Jamal Tifow
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 8, 2025
- Certification date
- Jan 8, 2025
- Last updated
- Jan 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156F00000X | Technician/Technologist | – | – | Yes |
Practice location
7533 Sheridan Ave SRichfield, MN 55423-3559
Phone 612-501-6472
Mailing address
7533 Sheridan Ave SRichfield, MN 55423-3559
Phone 612-501-6472
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