Individual
FAWSIYA M MAOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 W FRANKLIN AVE STE 510, MINNEAPOLIS, MN 55404-2454
(612) 871-3759
Mailing address
122 W FRANKLIN AVE STE 510, MINNEAPOLIS, MN 55404-2454
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/19/2019
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