Individual
AISHA HARED MOHAMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5970 W 136TH LN, SAVAGE, MN 55378-2481
(952) 393-2249
Mailing address
5970 W 136TH LN, SAVAGE, MN 55378-2481
(952) 393-2249
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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