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Suad Dualeh Abdirahman

Nurse's Aide in San Antonio, TX. Individual provider (NPI-1).

NPI number1982179511
StatusActive
Last updated in NPPESOct 10, 2018

Details

NPI
1982179511
Entity type
Individual (NPI-1)
Name
Suad Dualeh Abdirahman
Sex
Female
Sole proprietor
No
Enumeration date
Oct 10, 2018
Last updated
Oct 10, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's Aide–TXYes

Practice location

4041 Medical Dr
San Antonio, TX 78229-2184

Phone 210-773-3352

Mailing address

4041 Medical Dr
San Antonio, TX 78229-2184

Phone 210-773-3352

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