Individual
MISS SIA JAMILA SOGBEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
8227 12TH AVE S, BLOOMINGTON, MN 55425-1709
(612) 245-1658
(651) 207-6841
Mailing address
8630 SAVANNA OAKS BAY UNIT G, WOODBURY, MN 55125-9553
(612) 245-1658
(651) 207-6841
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-134523
MN
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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