Individual
EGRA MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2361 HIGHWAY 36 W STE 200, ROSEVILLE, MN 55113-3909
(612) 888-6695
Mailing address
2361 HIGHWAY 36 W STE 200, ROSEVILLE, MN 55113-3909
(612) 888-6695
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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