Individual
MAHVISH FATIMA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10181 ABLE ST NE, BLAINE, MN 55434-2677
(612) 812-8840
Mailing address
10181 ABLE ST NE, BLAINE, MN 55434-2677
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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