Individual
ABDULLAHI IBRAHIM HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4155 OLD SIBLEY MEMORIAL HWY STE 108, EAGAN, MN 55122-1949
(651) 502-2194
Mailing address
4155 OLD SIBLEY MEMORIAL HWY STE 108, EAGAN, MN 55122-1949
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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