Individual
MIREILLE KWADZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
157 CHAPARRAL DR, SAINT PAUL, MN 55124-9774
(612) 226-2147
Mailing address
157 CHAPARRAL DR, SAINT PAUL, MN 55124-9774
(612) 226-2147
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
405592
MN
Other
Enumeration date
03/16/2022
Last updated
09/13/2023
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