Individual
AYAN MOHYIDIN DHORE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17162 NEW MARKET DR, EDEN PRAIRIE, MN 55347-5331
(952) 686-8491
Mailing address
17162 NEW MARKET DR, EDEN PRAIRIE, MN 55347-5331
(952) 686-8491
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
056949-9
MN
Other
Enumeration date
12/18/2008
Last updated
12/12/2023
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