Individual
FADUMA ABDI AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4309 MARIGOLD AVE N, BROOKLYN PARK, MN 55443-1546
(612) 666-8499
Mailing address
2705 HERSCHEL ST UNIT B319, ROSEVILLE, MN 55113-4495
(612) 666-8499
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MN
Other
Enumeration date
10/27/2023
Last updated
01/10/2024
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