Mohamud Ali Hassan

NPI #1194557488 in Prior Lake, Minnesota

Provider Information

NPI Number: 1194557488
Entity Type: Individual
Name: Mohamud Ali Hassan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Aug 15, 2024
Last Updated: Aug 27, 2024

Practice Location

Address: 15815 FRANKLIN TRL SE STE 502
City: Prior Lake
State: Minnesota
ZIP Code: 55372-2076
Phone: (612) 205-2030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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