Individual
ZADOK NAMPALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 543-2614
Mailing address
1313 PENN AVENUE NORTH, MINNEAPOLIS, MN 55411-3047
(612) 543-2614
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
27266
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T781992
CAR SEAT CERTIFICATION LICENSE
MN
Enumeration date
04/09/2019
Last updated
04/09/2019
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