Individual
JUDITH MBANGWANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6549 JODY AVE S, COTTAGE GROVE, MN 55016-5063
(651) 230-5743
Mailing address
6549 JODY AVE S, COTTAGE GROVE, MN 55016-5063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2464896
MN
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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