Individual
AYAN ABDALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5430 BOONE AVE N, NEW HOPE, MN 55428-3615
(763) 592-2600
Mailing address
200 NATHAN LN N APT 244, PLYMOUTH, MN 55441-6486
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
2262639
MN
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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