Individual
ABDIHAMID ISMAIL JAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7800 METRO PKWY STE 300, BLOOMINGTON, MN 55425-1509
(952) 600-4009
(952) 600-4013
Mailing address
7800 METRO PKWY STE 300, BLOOMINGTON, MN 55425-1509
(952) 600-4009
(952) 600-4013
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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