Individual
MUNA IMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 41ST AVE S APT 103, SAINT CLOUD, MN 56301-8942
(320) 310-7276
Mailing address
2510 41ST AVE S APT 103, SAINT CLOUD, MN 56301-8942
(320) 310-7276
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MN
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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