Individual
BADRIA M MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10255 GREENBRIER RD APT 119, MINNETONKA, MN 55305-3425
(507) 573-2734
Mailing address
10255 GREENBRIER RD APT 119, MINNETONKA, MN 55305-3425
(507) 573-2734
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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