Individual
FADUMA A AWGEYDHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14125 LOUISIANA AVE S UNIT 7207, SAVAGE, MN 55378-5667
(619) 941-5655
Mailing address
14125 LOUISIANA AVE S UNIT 7207, SAVAGE, MN 55378-5667
(619) 941-5655
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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