Individual
PATIENCE S MBONIFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, DNP
Contact information
Practice address
1315 N 7TH ST, LAKE CITY, MN 55041-1251
(651) 724-2400
Mailing address
1315 N 7TH ST, LAKE CITY, MN 55041-1251
(651) 724-2400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1490237
MN
Other
Enumeration date
09/13/2019
Last updated
02/10/2022
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