Individual
AYAN ADAN FARAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9333 PENN AVE S, BLOOMINGTON, MN 55431-2320
(952) 393-8233
(952) 303-4837
Mailing address
9333 PENN AVE S, BLOOMINGTON, MN 55431-2320
(952) 393-8233
(953) 303-4837
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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