Individual
MR. BOAKAI MUSA KANNEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12153 72ND ST NE, OTSEGO, MN 55330-5064
(612) 709-3880
(612) 454-2583
Mailing address
12153 72ND ST NE, OTSEGO, MN 55330-5064
(612) 709-3880
(612) 454-2583
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MN
376J00000X
Homemaker
—
MN
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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