Selam Asfaha
Private Vehicle in Farmington, MN. Individual provider (NPI-1).
NPI number1659969293
StatusActive
Last updated in NPPESJan 8, 2021
Details
- NPI
- 1659969293
- Entity type
- Individual (NPI-1)
- Name
- Selam Asfaha
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 8, 2021
- Certification date
- Jan 8, 2021
- Last updated
- Jan 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | – | MN | Yes |
Practice location
19159 Encore CtFarmington, MN 55024-8081
Phone 952-220-9333
Mailing address
19159 Encore CtFarmington, MN 55024-8081
Phone 952-220-9333
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