Individual
IQRA JAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 E 38TH ST, MINNEAPOLIS, MN 55407-2571
(612) 354-2288
Mailing address
3268 LOUISIANA AVE S APT B3, ST LOUIS PARK, MN 55426-4118
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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