Individual
MR. JOHN CTSIAMBU YUFANYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12041 78TH ST NE, OTSEGO, MN 55330-4822
(612) 636-3800
(763) 777-9044
Mailing address
12041 78TH ST NE, OTSEGO, MN 55330-4822
(612) 636-3800
(763) 777-9044
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
393078
MN
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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