Individual
HASSAN HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 FOREST AVE, SUITE 8, PORTLAND, ME 04101-1541
(207) 409-7386
Mailing address
212 DUBLIN CT, MANKATO, MN 56001-5184
(507) 351-8830
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
12223645000027
MN
3747P1801X
Personal Care Attendant
Primary
—
ME
Other
Enumeration date
02/23/2015
Last updated
08/21/2023
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