Individual
MS. CHINENYE AMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 HIGH SITE DR APT 218, EAGAN, MN 55121-2153
(651) 278-0737
Mailing address
1350 HIGH SITE DR APT 218, EAGAN, MN 55121-2153
(651) 278-0737
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
818821
MN
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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