Individual
FARTUN WARSAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14817 INTERLACHEN LN, BURNSVILLE, MN 55306-6426
(612) 503-2062
Mailing address
14817 INTERLACHEN LN, BURNSVILLE, MN 55306-6426
(612) 503-2062
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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