Individual
JOYCE WANGUI KIMEMIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
11137 FILLMORE ST NE, BLAINE, MN 55434-4524
(651) 278-5406
Mailing address
11137 FILLMORE ST NE, BLAINE, MN 55434-4524
(651) 278-5406
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
R196625-3
MN
163WH0200X
Home Health Registered Nurse
R196625-3
MN
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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