Individual
MOHAMED ABDI ELMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12215 3RD ST NE, BLAINE, MN 55434-1981
(612) 644-7231
Mailing address
12215 3RD ST NE, BLAINE, MN 55434-1981
(612) 644-7231
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
990591748
MN
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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