Individual
FATUMA HERSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
12700 NICOLLET AVE APT 109, BURNSVILLE, MN 55337-3888
(515) 500-7053
Mailing address
12700 NICOLLET AVE, BURNSVILLE, MN 55337-2882
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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