Individual
AYAN MOHAMUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10987 BREN RD E UNIT B513, MINNETONKA, MN 55343-2052
(952) 256-7167
Mailing address
10987 BREN RD E UNIT B513, MINNETONKA, MN 55343-2052
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
817801
MN
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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