Individual
DEQA ADAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
311 UNIVERSITY AVE NE, 101, MINNEAPOLIS, MN 55413-1379
(612) 430-0036
Mailing address
724 20TH AVE S, MINNEAPOLIS, MN 55454-1329
(612) 636-9728
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MN
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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