Individual
MR. KIZITO KALEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8925 ZANZIBAR LN N, MAPLE GROVE, MN 55311-1249
(763) 670-3715
(763) 494-3715
Mailing address
9024 VINCENT AVE S, BLOOMINGTON, MN 55431-2154
(952) 887-4162
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/09/2007
Last updated
07/09/2007
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