Individual
ABDULLAHI HASSAN ABDIRISAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4236 PARK GLEN RD, SAINT LOUIS PARK, MN 55416-4758
(952) 888-7055
Mailing address
4236 PARK GLEN RD, SAINT LOUIS PARK, MN 55416-4758
(952) 888-7055
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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