Female

Mariam I. Ali

Taxi in Burlington, KY(View on Map)

Full Name

Mariam Issac Ali

NPI Number

1164088282

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/14/2019

Specialties

(Taxonomies)

Name

Code

344600000X

Primary Taxonomy

Yes

Licenses

State

Kentucky

License Number

4720

Contact
Information

Purpose

Mailing
Location

Address

6064 SOUTHPOINTE DR
6064 SOUTHPOINTE DR

City

Burlington
Burlington

State

KY
KY

Postal Code

41005-8528
41005-8528

Country

US
US

Telephone Number

(619) 822-5621
(619) 822-5621

Identifiers

Identifier

7100592580

Identifier State

KY

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/14/2019

Provider Address