Individual
MOHAMED MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TRANSPORTATION
Contact information
Practice address
5701 SHINGLE CREEK PKWY STE 600F, BROOKLYN CENTER, MN 55430-2355
(763) 703-9444
Mailing address
5701 SHINGLE CREEK PKWY STE 600F, BROOKLYN CENTER, MN 55430-2355
(763) 703-9444
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
H238080318513
MN
Other
Enumeration date
05/15/2017
Last updated
07/21/2022
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