Individual
DONOVAN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 NORTHWAY DR STE 8, BROOKLYN CENTER, MN 55429-3050
(651) 313-3039
Mailing address
3200 NORTHWAY DR STE 8, BROOKLYN CENTER, MN 55429-3050
(651) 313-3039
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
07/12/2024
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