Individual
ABDULLAHI LIBAN ISMAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6595 EDENVALE BLVD STE 155, EDEN PRAIRIE, MN 55346-2511
(612) 816-8081
Mailing address
6595 EDENVALE BLVD STE 155, EDEN PRAIRIE, MN 55346-2511
(612) 816-8081
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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