Individual
YALDA MAHINFALAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
875 E MAIN ST, WACONIA, MN 55387-1081
(952) 442-9334
Mailing address
875 E MAIN ST, WACONIA, MN 55387-1081
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120432
MN
Other
Enumeration date
07/31/2011
Last updated
07/31/2011
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