Individual
EDIL ABDIKHALIF HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 UNIVERSITY AVE W STE 153, SAINT PAUL, MN 55104-2894
(612) 328-9743
Mailing address
301 MCANDREWS RD W APT 317, BURNSVILLE, MN 55337-8300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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