Destu Mohamed

NPI #1669212213 in Spring Lake Park, Minnesota

Provider Information

NPI Number
1669212213
Entity Type
Individual
Name
Destu Mohamed
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
May 30, 2024
Last Updated
May 30, 2024

Practice Location

Address
1330 81ST AVE NE
ZIP Code
55432-2116
Phone
(612) 886-5794

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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