Most Relevant Information
Provider Data
| NPI Number: | 1003381351 |
| Provider Name: | ABDULHAKIM D MOHAMED |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/12/2018 |
| Last Updated: | 10/12/2018 |
Provider Practice Location
8200 HUMBOLDT AVE S
BLOOMINGTON
MN
554311433
Practice Location Phone/Fax
| Phone: | 9524540421 |
| Fax: | 9524264935 |
Provider Mailing Location
8200 HUMBOLDT AVE S
BLOOMINGTON
MN
554311433
Provider Mailing Phone/Fax
| Phone: | 9524540421 |
| Fax: | 9524264935 |