Individual
MAVIS NKANSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14039 VIRGINIA AVE, SAVAGE, MN 55378-6405
(719) 725-0712
(000) 000-0000
Mailing address
11011 ANDERSON LAKES PKWY APT 305N, EDEN PRAIRIE, MN 55344-4112
(952) 457-1836
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
10635651
MN
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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