Individual
NTWAL ABIGAEL MUKAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 WAYZATA BLVD, MINNEAPOLIS, MN 55426-1623
(302) 213-0791
Mailing address
7601 WAYZATA BLVD, MINNEAPOLIS, MN 55426-1623
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/26/2023
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