Individual
KEJELA HAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7505 METRO BLVD, EDINA, MN 55439-3081
(952) 914-1720
(952) 914-1727
Mailing address
656 GLENBROOK AVE N, OAKDALE, MN 55128-6507
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
8163
MN
Other
Enumeration date
05/06/2021
Last updated
08/16/2021
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