Iysar Ebrahim
Home Health Aide in Ypsilanti, MI. Individual provider (NPI-1).
NPI number1205615184
StatusActive
Last updated in NPPESSep 28, 2023
Details
- NPI
- 1205615184
- Entity type
- Individual (NPI-1)
- Name
- Iysar Ebrahim
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2023
- Certification date
- Sep 28, 2023
- Last updated
- Sep 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | MI | Yes |
Practice location
8748 Heather DrYpsilanti, MI 48198-3260
Phone 734-829-9810
Mailing address
8748 Heather DrYpsilanti, MI 48198-3260
Phone 734-829-9810
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