Individual
ABYAN A MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1336 N FRONTAGE RD, HASTINGS, MN 55033-2396
(320) 310-1382
Mailing address
1336 N FRONTAGE RD, HASTINGS, MN 55033-2396
(320) 310-1382
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A261043040209
MN
Other
Enumeration date
02/28/2024
Last updated
05/05/2025
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