Individual
SAMSAM ABDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
714 FULLER AVE, SAINT PAUL, MN 55104-4829
(612) 707-8619
Mailing address
714 FULLER AVE, SAINT PAUL, MN 55104-4829
(612) 707-8619
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
464522789
MN
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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