MR. Faisale Sale Boukari, RN

NPI #1366755464 in Champlin, Minnesota

Provider Information

NPI Number
1366755464
Entity Type
Individual
Name
MR. Faisale Sale Boukari, RN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Credential
RN
Enumeration Date
Jul 17, 2010
Last Updated
Jul 17, 2010

Practice Location

Address
12017 PENNSYLVANIA AVE N
ZIP Code
55316-2233
Phone
(612) 281-5754

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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