Individual
CARINA KANKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 PARK AVE STE 104, MINNEAPOLIS, MN 55404-1579
(612) 872-8811
Mailing address
PO BOX 431172, MINNEAPOLIS, MN 55443-7267
(612) 423-2115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R200041-9
MN
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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