SUADO HIRSI DIRIR

MINNEAPOLIS, MN
NPI1417493990
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy305R00000X Preferred Provider Organization
(Licence: MN  1082425)
Enumeration Date2017-01-09
Last Update Date2017-01-09
Business Address
-- SUADO HIRSI DIRIR
2605 BLOOMINGTON AVE
MINNEAPOLIS, MN 55407-1137
Phone number: 612-701-2772
Mailing Address
-- SUADO HIRSI DIRIR
2605 BLOOMINGTON AVE
MINNEAPOLIS, MN 55407-1137
Phone number: 612-701-2772