Individual
SHUAYB DEQ HUSSEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15601 60TH AVE N, PLYMOUTH, MN 55446-4581
(612) 532-0289
Mailing address
15601 60TH AVE N, PLYMOUTH, MN 55446-4581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
11/16/2024
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