Individual
BALQIIS HERSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2830 12TH AVE S, MINNEAPOLIS, MN 55407-1329
(612) 806-9444
Mailing address
2830 12TH AVE S, MINNEAPOLIS, MN 55407-1329
(612) 806-9444
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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