Individual
AUDREY SWEETIE DUNDAS MONGRUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 SHINGLE CREEK PKWY STE 250Q, BROOKLYN CENTER, MN 55430-2382
(763) 898-9308
Mailing address
353 JAY WAY, VADNAIS HEIGHTS, MN 55127-7953
(651) 900-0861
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
A472490500
MN
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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