SearchMinnesota163WH0200X

Istahil Ali

NPI 1225865660 · on the registry since 2024

Practice

Address
17862 Essex Ln
Lakeville, MN 55044
Phone
(612) 472-2983
Organisation at this address
Graceful Living Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
163WH0200X
163WH0200X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota