Individual
EDIRIS MOHAMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10520 WAYZATA BLVD STE 100, HOPKINS, MN 55305-1571
(612) 919-2884
Mailing address
10520 WAYZATA BLVD STE 100, HOPKINS, MN 55305-1571
(612) 919-2884
(612) 404-1196
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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