Individual
MOHAMED MOHAMUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1567 SHERBURNE AVE, SAINT PAUL, MN 55104-2327
(612) 800-2776
Mailing address
1567 SHERBURNE AVE, SAINT PAUL, MN 55104-2327
(612) 800-2776
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1207445600025
MN
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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