Individual
ANFA ABDILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9538 ENSIGN AVE S, BLOOMINGTON, MN 55438
(612) 644-9042
Mailing address
9358 ENSIGN AVE S, BLOOMINGTON, MN 55438-1472
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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