Individual
AMANE KASSIM EJERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
894 JUNO AVE, SAINT PAUL, MN 55102-3714
(651) 332-4219
Mailing address
894 JUNO AVE, SAINT PAUL, MN 55102-3714
(651) 332-4219
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MN
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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