Individual
HARON NYAKUNDI MANWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 7TH AVE, ANOKA, MN 55303-4516
(651) 431-5000
Mailing address
7223 114TH LN N, CHAMPLIN, MN 55316-2860
(612) 532-6404
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6804
MN
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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