Individual
AMINO CAMBASHE ISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6113 ROME CIR NW, ROCHESTER, MN 55901-4846
(612) 300-2935
Mailing address
6113 ROME CIR NW, ROCHESTER, MN 55901-4846
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/04/2024
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