Individual
KIMBERLY STEWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5920 65TH AVE N APT 155, BROOKLYN PARK, MN 55429-4311
(612) 707-4793
Mailing address
5920 65TH AVE N APT 155, BROOKLYN PARK, MN 55429-4311
(612) 707-4793
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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