ABDIFATAH OMAR

Contractor

Active Individual
NPI: 1295246429

Practice Address

2355 FAIRVIEW AVE N #182
Roseville, MN 55113

Phone: (612) 999-8057

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1295246429 is the National Provider Identifier for ABDIFATAH OMAR, a Contractor provider located in Roseville, MN. This NPI was enumerated on October 16, 2017.
ABDIFATAH OMAR practices at 2355 FAIRVIEW AVE N #182, Roseville, MN 55113.

Quick Facts

NPI
1295246429
Type
Individual
Enumerated
Oct 16, 2017
Last Updated
Jul 21, 2022

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