Individual
ANISSA SUKAINA SALEMOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 331-9413
Mailing address
3600 92ND AVE N, BROOKLYN PARK, MN 55443-1737
(763) 443-5982
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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