Individual
MOHAMED IBRAHIM HUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2901 MOUNDS VIEW BLVD APT 114, SAINT PAUL, MN 55112-0009
(763) 639-6754
Mailing address
2901 MOUNDS VIEW BLVD APT 114, SAINT PAUL, MN 55112-0009
(763) 639-6754
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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