Individual
TITI TAIWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5370 172ND STREET WEST, LAKEVILLE, MN 55024-7325
(612) 386-2372
Mailing address
5370 172ND STREET WEST, LAKEVILLE, MN 55024-7325
(612) 386-2372
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9087
MN
Other
Enumeration date
04/08/2022
Last updated
04/11/2022
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