Mrs. Fardowsa A Ibrahim
Mrs. Fardowsa A Ibrahim is a Non-emergency Medical Transport (VAN) in Madison, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
700 Ray O Vac Dr Ste 2Madison, WI 53711-2469
Phone: (608) 512-5569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X · Licence 101 (WI) |
|---|---|
| Non-emergency Medical Transport (VAN) | Taxonomy 343900000X |
Record details
| NPI number | 1952161929 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 19, 2024 |
| Last updated in NPPES | March 19, 2024 |
| Certification date | March 18, 2024 |
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