Individual
OSMAN MAHAMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5810 2 1/2 ST NE, FRIDLEY, MN 55432-5403
(612) 598-4516
Mailing address
5810 2 1/2 ST NE, FRIDLEY, MN 55432-5403
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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