Organization
THRIVVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED MOHAMED BAHSANE (OWNER)
(619) 727-0728
Entity
Organization
Contact information
Practice address
15430 FOUNDERS LN APT 108, APPLE VALLEY, MN 55124-6174
(619) 727-0728
Mailing address
15430 FOUNDERS LN APT 108, APPLE VALLEY, MN 55124-6174
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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