Individual
RADHWAN ALWANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13052 JEWELL CIR NE, BLAINE, MN 55449-0045
(612) 423-8155
Mailing address
13052 JEWELL CIR NE, BLAINE, MN 55449-0045
(612) 423-8155
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/26/2024
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