Individual
IKRAM MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10157 3RD ST NE, BLAINE, MN 55434-4500
(612) 367-7518
Mailing address
10157 3RD ST NE, BLAINE, MN 55434-4500
(612) 367-7518
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
MN
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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