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Individual

JOAN K MOKAYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
11149 IDAHO CT N, CHAMPLIN, MN 55316-3324
(215) 578-0853
Mailing address
11149 IDAHO CT N, CHAMPLIN, MN 55316-3324
(215) 578-0853

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2476627
MN

Other

Enumeration date
04/02/2025
Last updated
04/02/2025
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