Individual
AHMED M ANSHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1350 ENERGY LN # 101, SAINT PAUL, MN 55108-5275
(651) 313-5162
Mailing address
1350 ENERGY LN # 101, SAINT PAUL, MN 55108-5275
(651) 313-5162
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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