Individual provider · Type 1 NPI

Ahmed Jama Botan

Private Vehicle · Minneapolis, MN

NPI number 1720405608 Active

Practice location

419 Cedar Ave S Apt G278
Minneapolis, MN 55454-1032

Mailing address

1615 S 4th St Apt 3510
Minneapolis, MN 55454-1129

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XNone listed

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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About NPI 1720405608

Ahmed Jama Botan's National Provider Identifier is 1720405608, issued on Mar 28, 2014. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 28, 2014.