Individual
IFRAH ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2208 E 117TH ST, BURNSVILLE, MN 55337-1265
(195) 229-7533
Mailing address
2208 E 117TH ST, BURNSVILLE, MN 55337-1265
(195) 229-7533
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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