Individual
YASIN JAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9810 DREW AVENUE SOUTH, APARTMENT 106, BLOOMINGTON, MN 55431
(612) 703-4514
Mailing address
9810 DREW AVE S, APT 106, BLOOMINGTON, MN 55431-2771
(612) 703-4514
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
W963240252118
MN
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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