Individual
NASTEHO JAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
453 SAINT PAUL PL, OWATONNA, MN 55060-1492
(612) 400-5454
Mailing address
453 SAINT PAUL PL, OWATONNA, MN 55060-1492
(612) 400-5454
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MN
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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