Individual provider · NPI-1
Aliyyah Abdur-Rauf
Technician, Other · Detroit, MI
NPI number1629527361
StatusActive
Last updated in NPPESSep 22, 2016
Details
- NPI
- 1629527361
- Entity type
- Individual (NPI-1)
- Name
- Aliyyah Abdur-Rauf
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2016
- Last updated
- Sep 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
100 Riverfront Dr Apt 1805Detroit, MI 48226-4540
Phone 313-409-9017
Mailing address
100 Riverfront Dr Apt 1805Detroit, MI 48226-4540
Phone 313-409-9017
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