Individual
ABDIAZIZ AHMED HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 40TH ST S APT 121, FARGO, ND 58103-1175
(701) 730-9489
Mailing address
1351 PAGE DR S STE 215, FARGO, ND 58103-3536
(701) 730-9489
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
ND
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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