Individual
MS. FARHIO MOHAMUD JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2910 PILLSBURY AVE S, 250, MINNEAPOLIS, MN 55408-2297
(612) 298-2765
Mailing address
2101 WASHINGTON ST NE, 106, MINNEAPOLIS, MN 55418-4832
(612) 886-2297
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
80-0394328
MN
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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