Individual provider · NPI-1

Fatimah Abouelsoud

Case Manager/Care Coordinator · Cleveland, OH

NPI number1437848413
StatusActive
Last updated in NPPESJul 3, 2024

Details

NPI
1437848413
Entity type
Individual (NPI-1)
Name
Fatimah Abouelsoud
Sex
Female
Sole proprietor
Yes
Enumeration date
May 4, 2023
Certification date
Jul 3, 2024
Last updated
Jul 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

2486 E 124th St
Cleveland, OH 44120-1003

Phone 216-925-9555

Mailing address

2486 E 124th St
Cleveland, OH 44120-1003

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