Individual
ABDIRASAQ M ABDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2519 83RD CT N, BROOKLYN PARK, MN 55444-1519
(612) 205-7883
Mailing address
7733 103RD AVE N, BROOKLYN PARK, MN 55445-2480
(612) 205-7883
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/24/2022
Last updated
11/24/2022
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