Individual
ABDIQANI ISMAIL MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3055 OLD HIGHWAY 8 STE LL85A, ST ANTHONY, MN 55418-2598
(651) 508-5397
Mailing address
3055 OLD HIGHWAY 8 STE LL85A, ST ANTHONY, MN 55418-2598
(651) 508-5397
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
07/12/2025
Last updated
07/12/2025
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