Organization
COMMUNITYBRIDGE SOLUTION CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIRISAAQ MOHAMED (DIRECTOR)
(612) 513-9234
Entity
Organization
Contact information
Practice address
201 3RD AVE S UNIT 16, MINNEAPOLIS, MN 55401-2524
(612) 513-9234
Mailing address
2101 3RD AVE S APT 16, MINNEAPOLIS, MN 55404-2638
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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