Individual
CHALA MASSINOPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
671 VANDALIA ST, SAINT PAUL, MN 55114-1312
(651) 696-5674
Mailing address
671 VANDALIA ST, SAINT PAUL, MN 55114-1312
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
230927
AZ
367A00000X
Advanced Practice Midwife
Primary
433
MN
367A00000X
Advanced Practice Midwife
CNM05642
AZ
Other
Enumeration date
09/11/2019
Last updated
06/19/2020
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