Individual
HAMIDA MAHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
5941 WASHBURN AVE S, MINNEAPOLIS, MN 55410-2848
(763) 587-5513
(612) 259-8084
Mailing address
5941 WASHBURN AVE S, MINNEAPOLIS, MN 55410-2848
(612) 709-3686
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
108539
MN
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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