Individual
NASRA D BUDUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MENDOTA RD W, WEST SAINT PAUL, MN 55118-4764
(651) 554-6100
(651) 554-6130
Mailing address
2438 POND AVE E, MAPLEWOOD, MN 55119-6768
(651) 434-5553
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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