Yusuf Ismail Mohamed

NPI #1134884216 in Oak Creek, Wisconsin

Provider Information

NPI Number: 1134884216
Entity Type: Individual
Name: Yusuf Ismail Mohamed
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Nov 3, 2021
Last Updated: Nov 3, 2021

Practice Location

Address: 8050 S WILDWOOD DR APT 103
City: Oak Creek
State: Wisconsin
ZIP Code: 53154-7410
Phone: (414) 502-4022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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