Individual
FAHIMA MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 ENERGY PARK DR STE 11, SAINT PAUL, MN 55108-5249
(612) 666-8809
Mailing address
1410 ENERGY PARK DR STE 11, SAINT PAUL, MN 55108-5249
(612) 666-8809
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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