Individual
ABDIRAZAQ ALI MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3055 OLD HIGHWAY 8 STE 190, SAINT ANTHONY, MN 55418-2595
(612) 349-7659
(612) 605-6300
Mailing address
3055 OLD HIGHWAY 8 STE 190, SAINT ANTHONY, MN 55418-2595
(612) 345-7659
(612) 605-6300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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