Organization
BRIGHTPATH NEUROCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADUMO ABDI HASSAN BA (OWNER)
(952) 261-3811
Entity
Organization
Contact information
Practice address
3333 W DIVISION ST UNIT 218-13, SAINT CLOUD, MN 56301-4515
(952) 261-3811
Mailing address
3333 W DIVISION ST UNIT 218-13, SAINT CLOUD, MN 56301-4515
(952) 261-3811
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/26/2025
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