Individual
BASHIR A MOHAMUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1021 E 22ND ST, MINNEAPOLIS, MN 55404-2942
(651) 497-9560
Mailing address
1930 CLINTON AVE, MINNEAPOLIS, MN 55404-2747
(651) 497-9560
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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