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Individual

MRS. DENITA SEREE WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
100 S 5TH ST STE 1900, MINNEAPOLIS, MN 55402-1267
(763) 501-0792
Mailing address
100 S 5TH ST STE 1900, MINNEAPOLIS, MN 55402-1267
(763) 501-0792

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
2983428700
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2983428700
PCA
MN
Enumeration date
09/21/2020
Last updated
12/07/2020
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