Iftu Abdulla
Driver in Spring Lake Park, MN. Individual provider (NPI-1).
NPI number1215664461
StatusActive
Last updated in NPPESAug 6, 2022
Details
- NPI
- 1215664461
- Entity type
- Individual (NPI-1)
- Name
- Iftu Abdulla
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2022
- Certification date
- Aug 6, 2022
- Last updated
- Aug 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | MN | Yes |
Practice location
1600 81st Ave Ne Apt 6Spring Lake Park, MN 55432-1342
Phone 763-400-0851
Mailing address
1600 81st Ave Ne Apt 6Spring Lake Park, MN 55432-1342
Phone 763-400-0851
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