Kassim Mohamed

NPI #1467993956 in Saint Paul, Minnesota

Provider Information

NPI Number: 1467993956
Entity Type: Individual
Name: Kassim Mohamed
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Mar 16, 2017
Last Updated: Mar 16, 2017

Practice Location

Address: 860 BLUE GENTIAN RD
Address 2: STE 200
City: Saint Paul
State: Minnesota
ZIP Code: 55121-1564
Phone: (952) 737-2965

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Driver	172A00000X
Technician	374700000X	Primary

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