Individual
SEBLE MELSE LEMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1627 WHITE BEAR AVE N, SAINT PAUL, MN 55106-1609
(651) 278-7319
Mailing address
1627 WHITE BEAR AVE N, SAINT PAUL, MN 55106-1609
(651) 278-7319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1775994
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851036875
—
MN
Enumeration date
07/14/2022
Last updated
07/14/2022
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