Individual
HUDEYFI MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2575 IVY AVE E, MAPLEWOOD, MN 55119-7163
(612) 296-8573
Mailing address
2575 IVY AVE E, MAPLEWOOD, MN 55119-7163
(612) 296-8573
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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