Individual
GHENET TEKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 MISSISSIPPI ST, SAINT PAUL, MN 55130-3310
(651) 434-9669
Mailing address
1312 MISSISSIPPI ST, SAINT PAUL, MN 55130-3310
(651) 434-9669
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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