Individual
EUSTUS KALUBA NGONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7348 TIMBER CREST DR S, COTTAGE GROVE, MN 55016-4577
(507) 219-2072
Mailing address
7348 TIMBER CREST DR S, COTTAGE GROVE, MN 55016-4577
(507) 219-2072
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R176943-4
MN
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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