Individual
LEONELLE YOKE EBANJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
1504 WHITE BEAR AVE N, SAINT PAUL, MN 55106-1606
(651) 771-2513
(651) 771-2514
Mailing address
5615 150TH ST N, HUGO, MN 55038-3535
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
218747-1
MN
363LF0000X
Family Nurse Practitioner
Primary
6867
MN
Other
Enumeration date
07/23/2014
Last updated
09/23/2019
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