Individual
NIMU ABDIRAZAK HERSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4062 W COUNTY ROAD 42, SAVAGE, MN 55378-4022
(952) 855-3640
Mailing address
4062 W COUNTY ROAD 42, SAVAGE, MN 55378-4022
(952) 855-3640
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
1118903
MN
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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