Individual
DAISY ALFARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-7272
Mailing address
8456 RICH AVE S, BLOOMINGTON, MN 55437-1346
(952) 607-8385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12379
MN
Other
Enumeration date
04/28/2017
Last updated
10/11/2019
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