Fatumo Omar Ibrahim

NPI #1154102044 in Savage, Minnesota

Provider Information

NPI Number: 1154102044
Entity Type: Individual
Name: Fatumo Omar Ibrahim
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 9, 2023
Last Updated: Oct 9, 2023

Practice Location

Address: 5769 EGAN DR
City: Savage
State: Minnesota
ZIP Code: 55378-4917
Phone: (952) 214-1124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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