Individual
FANUSA SHARIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3750 SILVER LAKE RD NE APT 1335, MINNEAPOLIS, MN 55421-4231
(763) 347-0981
Mailing address
3750 SILVER LAKE RD NE APT 1335, MINNEAPOLIS, MN 55421-4231
(816) 888-9638
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
06/02/2025
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