Individual
AHMEDO KAMAL MOHAMMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RESPIRATORY
Contact information
Practice address
5015 GARLAND LN N APT A, PLYMOUTH, MN 55446-2466
(952) 297-7855
Mailing address
11178 ABLE ST NE, BLAINE, MN 55434-5505
(952) 297-7855
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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