Individual
AYANE MANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
311 UNIVERSITY AVE NE APT 101, MINNEAPOLIS, MN 55413-2078
(612) 205-1827
Mailing address
311 UNIVERSITY AVE NE APT 101, MINNEAPOLIS, MN 55413-2078
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MN
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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