Individual
AHMED ALI MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2930 BLAISDELL AVE APT 307, MINNEAPOLIS, MN 55408-2327
(717) 590-0604
(612) 395-3315
Mailing address
2930 BLAISDELL AVE APT 307, MINNEAPOLIS, MN 55408-2327
(717) 590-0604
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
B312094737806
MN
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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