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CLIFF NYAKUNDI NTENGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
11266 CREEKSIDE TRL, MAPLE GROVE, MN 55311-7700
(763) 300-7637
Mailing address
11266 CREEKSIDE TRL, MAPLE GROVE, MN 55311-7700
(763) 300-7637

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12115
MN

Other

Enumeration date
09/28/2024
Last updated
09/28/2024
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