Individual
COSLEY ICHEKWAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7125 KYLE AVE N, BROOKLYN CENTER, MN 55429-1327
(612) 458-0986
Mailing address
7125 KYLE AVE N, BROOKLYN CENTER, MN 55429-1327
(612) 458-0986
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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