Individual
FADUMA ABDIRIZAK MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 ENERGY PARK DR, SAINT PAUL, MN 55108-5266
(161) 266-6880
Mailing address
1410 ENERGY PARK DR, SAINT PAUL, MN 55108-5266
(161) 266-6880
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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