Individual
AYAN ABDULLAHI ABDISALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7835 3RD ST N STE 108, OAKDALE, MN 55128-5445
(651) 666-1267
(651) 666-1268
Mailing address
729 ALLEN AVE, LITTLE CANADA, MN 55117-1277
(612) 404-7863
(651) 666-1268
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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