Individual
AMINA MOHAMED ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1044 DAKOTA DR, MENDOTA HEIGHTS, MN 55120-1266
(651) 340-5593
Mailing address
1044 DAKOTA DR, MENDOTA HEIGHTS, MN 55120-1266
(651) 340-5593
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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