Individual
NEVIL NUVALA GENJANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 METRO DR STE 260, BLOOMINGTON, MN 55425-1548
(952) 324-5713
(952) 378-2860
Mailing address
17891 ELDER AVE, LAKEVILLE, MN 55044-4984
(952) 324-5713
(952) 378-2860
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
126228
MN
Other
Enumeration date
09/07/2023
Last updated
02/27/2026
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