Individual
FATIMA ABDULKADIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1912 38TH ST S, SAINT CLOUD, MN 56301-9669
(651) 354-3014
Mailing address
1912 38TH ST S, SAINT CLOUD, MN 56301-9669
(651) 354-3014
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/27/2016
Last updated
08/01/2024
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