Individual
HUSSEIN ISMAIL MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 TEDESCO ST APT 507, SAINT PAUL, MN 55130-4556
(651) 502-3807
Mailing address
3617 E LAKE ST STE B, MINNEAPOLIS, MN 55406-2148
(651) 502-3807
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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