Individual
DEQA ABDULQADIR FARAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1130 TOWN CENTRE DR APT 3, EAGAN, MN 55123-2318
(612) 814-7878
Mailing address
1130 TOWN CENTRE DR APT 3, EAGAN, MN 55123-2318
(612) 814-7878
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1018484
MN
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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