Individual
AMRAN HASHI FIDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4155 OLD SIBLEY MEMORIAL HWY STE 108, EAGAN, MN 55122-1949
(612) 205-0658
(651) 502-2194
Mailing address
4155 OLD SIBLEY MEMORIAL HWY STE 108, EAGAN, MN 55122-1949
(612) 205-0658
(651) 502-2194
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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