Individual
ABDIFITAH ABDISALAM HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7201 YORK AVE S APT 219, EDINA, MN 55435-4445
(614) 589-0263
Mailing address
7201 YORK AVE S APT 219, EDINA, MN 55435-4445
(614) 589-0263
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MN
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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