Motassim Mohamed Sorkaty
Home Health Aide in Columbia Heights, MN. Individual provider (NPI-1).
NPI number1982013017
StatusActive
Last updated in NPPESAug 2, 2014
Details
- NPI
- 1982013017
- Entity type
- Individual (NPI-1)
- Name
- Motassim Mohamed Sorkaty
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 2, 2014
- Last updated
- Aug 2, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | 368296 | MN | Yes |
Practice location
3847 Central Ave NeColumbia Heights, MN 55421-3930
Phone 612-275-5909
Mailing address
3847 Central Ave NeColumbia Heights, MN 55421-3930
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