Individual
MS. MILLICENT WANJOHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
755 53RD AVE NE, FRIDLEY, MN 55421-1240
(763) 862-9656
Mailing address
755 53RD AVE NE, FRIDLEY, MN 55421-1240
(763) 862-9656
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10209
MN
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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