Individual
ABDIWAHID BULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1865 OLD HUDSON RD, SAINT PAUL, MN 55119-4308
(612) 735-6743
Mailing address
1865 OLD HUDSON RD, SAINT PAUL, MN 55119-4308
(612) 735-6743
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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