Individual
RACHAEL MUTIO KANYUGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4540 124TH CT NE, BLAINE, MN 55449-2603
(763) 614-0162
Mailing address
4540 124TH CT NE, BLAINE, MN 55449-2603
(763) 614-0162
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2475894
MN
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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