Individual
TERFA BITEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
856 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4807
(651) 665-9795
(651) 665-9796
Mailing address
856 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4807
(651) 665-9795
(651) 665-9796
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
817913
MN
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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