Individual
ASIYA ABDULKADIR GAZALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7205 UNIVERSITY AVE NE, FRIDLEY, MN 55432-3134
(612) 298-7636
Mailing address
8620 EDISON ST NE, BLAINE, MN 55449-5629
(507) 363-3665
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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