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Mohamed Amin Mohamed

Home Health in Saint Louis, MO. Individual provider (NPI-1).

NPI number1497380554
StatusActive
Last updated in NPPESMar 10, 2020

Details

NPI
1497380554
Entity type
Individual (NPI-1)
Name
Mohamed Amin Mohamed
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 10, 2020
Certification date
Mar 10, 2020
Last updated
Mar 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

3447 S Grand Blvd
Saint Louis, MO 63118-1018

Phone 314-662-3637 · Fax 314-800-2314

Mailing address

3447 S Grand Blvd
Saint Louis, MO 63118-1018

Phone 314-662-3637 · Fax 314-800-2314

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