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NPI Code Detail

MEDICARE: AKHMIRI SEKHR-RA B.A.

MEDICARE:   AKHMIRI  SEKHR-RA  B.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174H00000XHealth Educator

General Provider Information

NPI Number : 1568866283
Entity Type Code : Individual
Provider Name (Legal Business Name) : AKHMIRI SEKHR-RA B.A.
Provider Business Mailing Address
First Line : 2025 PORTLAND AVE
Second Line : C/O CULTURAL WELLNESS CENTER
City : MINNEAPOLIS
State : MN
Zip : 55404-2654
Country : US
Telephone Number : 612-721-5745
Fax Number : 612-724-5461
Provider Business Practice Location Address
First Line : 2025 PORTLAND AVE
Second Line : C/O CULTURAL WELLNESS CENTER
City : MINNEAPOLIS
State : MN
Zip : 55404-2654
Country : US
Telephone Number : 612-721-5745
Fax Number : 612-724-5461
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2014
Last Update Date : 10/09/2014

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