Individual
JOSEPHINE CHANTELLE HITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
480 OSBORNE RD NE, FRIDLEY, MN 55432-2773
(763) 785-4500
(763) 785-3329
Mailing address
480 OSBORNE RD NE, FRIDLEY, MN 55432-2773
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10790
MN
Other
Enumeration date
07/06/2010
Last updated
01/09/2012
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