Individual
ABIDIAYUBE MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1973 SLOAN PL STE 100, SAINT PAUL, MN 55117-2085
(651) 797-4821
Mailing address
1973 SLOAN PL STE 100, SAINT PAUL, MN 55117-2085
(651) 797-4821
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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