Individual
FADUMO M ABSHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4024 W 141ST ST, SAVAGE, MN 55378-2666
(402) 618-7275
Mailing address
4024 W 141ST ST, SAVAGE, MN 55378-2666
(402) 618-7275
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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