Individual
AHLAM MOHAMED ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9001 E BLOOMINGTON FWY, BLOOMINGTON, MN 55420-3435
(612) 545-7101
Mailing address
9001 E BLOOMINGTON FWY, BLOOMINGTON, MN 55420-3435
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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