Individual
PRINCESS GEHYIGON-WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7362 UNIVERSITY AVE NE STE 310-3, FRIDLEY, MN 55432-3142
(612) 567-9587
(763) 201-3093
Mailing address
7362 UNIVERSITY AVE NE # 310-3, FRIDLEY, MN 55432-3142
(651) 628-9566
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6598
MN
Other
Enumeration date
05/28/2019
Last updated
02/22/2023
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