Individual
AYAN ABDIKADIR MAHAMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1044 DAKOTA DR, MENDOTA HEIGHTS, MN 55120-1266
(651) 214-8982
Mailing address
1044 DAKOTA DR, MENDOTA HEIGHTS, MN 55120-1266
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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