Individual
MR. ABDIRIZAK MOHAMED AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 28TH AVE S # 12611, GRAND FORKS, ND 58201-9998
(701) 739-5464
Mailing address
2501 28TH AVE S # 12611, GRAND FORKS, ND 58201-9998
(701) 739-5464
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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