Individual
FATUMO ABDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1671 CENTURY CIR, APT 116, WOODBURY, MN 55125-4203
(651) 315-2227
Mailing address
1671 CENTURY CIR, APT 116, WOODBURY, MN 55125-4203
(651) 315-2227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R211899-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R211899-0
REGISTERED NURSE
MN
Enumeration date
07/19/2016
Last updated
07/19/2016
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