Individual
BISHARO ISSE ABDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14041 BURNHAVEN DR STE 150, BURNSVILLE, MN 55337-4442
(612) 298-1207
(612) 234-6566
Mailing address
16074 ESTATE LN, LAKEVILLE, MN 55044-2269
(612) 479-9918
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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