Individual
IBRAHIM MOHAMUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1906 CLINTON AVE APT 105, MINNEAPOLIS, MN 55404-2752
(612) 380-7734
Mailing address
1906 CLINTON AVE APT 105, MINNEAPOLIS, MN 55404-2752
(612) 380-7734
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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