Sundus Ismail Saleh

NPI #1104652635 in Blaine, Minnesota

Provider Information

NPI Number: 1104652635
Entity Type: Individual
Name: Sundus Ismail Saleh
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 11, 2024
Last Updated: Sep 11, 2024

Practice Location

Address: 1114 112TH LN NE
City: Blaine
State: Minnesota
ZIP Code: 55434-4547
Phone: (612) 644-8021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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