Individual
ETHIL JAMA MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 E LAKE ST STE 100, MINNEAPOLIS, MN 55406-2151
(612) 298-2169
Mailing address
3500 E LAKE ST STE 100, MINNEAPOLIS, MN 55406-2151
(612) 298-2169
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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