Individual
GLORIA LUKALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8317 XERXES AVE N, BROOKLYN PARK, MN 55444-1543
(612) 817-7970
Mailing address
8317 XERXES AVE N, BROOKLYN PARK, MN 55444-1543
(612) 817-7970
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
224614-7
MN
Other
Enumeration date
08/12/2016
Last updated
10/24/2016
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