Individual
ABDIKARIM MOALLIM HUSSEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4720 7TH AVE S STE E, FARGO, ND 58103-7254
(612) 205-0555
Mailing address
4720 7TH AVE S STE E, FARGO, ND 58103-7254
(612) 205-0555
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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