Individual
MARIYA ISHKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
1800 WASHINGTON AVE S, APT 410, MINNEAPOLIS, MN 55454-2013
(630) 532-1583
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
210716-3
MN
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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