Individual
NICCOLE GOENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 N 4TH ST, MINNEAPOLIS, MN 55412-2615
(612) 220-4505
Mailing address
3333 N 4TH ST, MINNEAPOLIS, MN 55412-2615
(612) 220-4505
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MN
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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