Individual
JULIANA WIRKPU ATANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R. N
Contact information
Practice address
801 101ST LN NE, BLAINE, MN 55434-2678
(763) 780-9603
Mailing address
4105 85TH AVE N, BROOKLYN PARK, MN 55443-2054
(763) 634-5994
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
227060-5
MN
164W00000X
Licensed Practical Nurse
L058567-7
MN
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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