Individual
MOHAMED KHALIF HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1821 UNIVERSITY AVE W STE 107-23, SAINT PAUL, MN 55104-0049
(612) 735-6668
Mailing address
649 OLD HIGHWAY 8 NW APT 146, NEW BRIGHTON, MN 55112-2871
(612) 735-6668
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1111642
MN
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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