Individual
SIRAD MOHAMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2385 ARIEL ST N, MAPLEWOOD, MN 55109-2248
(651) 338-9974
Mailing address
1393 SURREY LN, WOODBURY, MN 55125-9165
(651) 338-9974
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
2483450
MN
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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