Individual
AYAN A MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11005 OKINAWA ST NE, BLAINE, MN 55449-6205
(612) 298-2894
Mailing address
1928 PORTLAND AVE # S302, MINNEAPOLIS, MN 55404-3469
(612) 298-2894
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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