Individual provider · NPI-1

Tasneem Mahmoud Abdelhamid

Community Health Worker · Detroit, MI

NPI number1720604028
StatusActive
Last updated in NPPESAug 11, 2020

Details

NPI
1720604028
Entity type
Individual (NPI-1)
Name
Tasneem Mahmoud Abdelhamid
Sex
Female
Sole proprietor
No
Enumeration date
Jun 23, 2020
Certification date
Aug 11, 2020
Last updated
Aug 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker–MIYes

Practice location

79 W Alexandrine St
Detroit, MI 48201-2015

Phone 313-831-5535

Mailing address

70 W Alexandrine St
Detroit, MI 48201-2051

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