Individual
MOHAMED SHIDO HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1312 7TH ST NW STE 203, ROCHESTER, MN 55901-1704
(507) 517-9477
Mailing address
1990 ASHLAND DR NW UNIT 308, ROCHESTER, MN 55901-5698
(507) 517-9477
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1099334
MN
372600000X
Adult Companion
1099334
MN
376J00000X
Homemaker
1099334
MN
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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