Mohamed, Destu
Mohamed, Destu is an sole proprietor health care provider with primary practice located at 1330 81St Ave Ne , Spring Lake Park MN 55432-2116. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mohamed, Destu can be contacted via phone (612) 886-5794.Contact Information
Primary practice address
1330 81St Ave Ne
Spring Lake Park MN 55432-2116
Phone: (612) 886-5794
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1669212213 |
|---|---|
| LBN Legal business name | Mohamed, Destu |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2024 |
| Last updated | May 30th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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