Individual
SELAM ASFAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19159 ENCORE CT, FARMINGTON, MN 55024-8081
(952) 220-9333
Mailing address
19159 ENCORE CT, FARMINGTON, MN 55024-8081
(952) 220-9333
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
MN
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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