Organization
BRAVO CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED AMIN KEDIR (OWNER)
(503) 260-0819
Entity
Organization
Contact information
Practice address
8119 BLOOMINGTON AVE, BLOOMINGTON, MN 55425-1109
(503) 260-0819
Mailing address
8119 BLOOMINGTON AVE, BLOOMINGTON, MN 55425-1109
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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