Individual
KHADAR MOHAMED YASSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1518 E LAKE STREET, 202, MINNEAPOLIS, MN 55407
(612) 281-0730
Mailing address
1518 E LAKE ST, MINNEAPOLIS, MN 55407-1750
(612) 281-0730
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/06/2017
Last updated
07/21/2022
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