Individual
ABDIRAHMAN MAHAMUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2716 BLAISDELL AVE APT 1, MINNEAPOLIS, MN 55408-1528
(612) 242-4096
Mailing address
122 W FRANKLIN AVE STE 510, MINNEAPOLIS, MN 55404-2454
(612) 913-1491
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MN
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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