Individual
HARRIET MAKITI WELWOLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3617 80TH AVE N, BROOKLYN PARK, MN 55443-2801
(763) 458-1105
Mailing address
3617 80TH AVE N, BROOKLYN PARK, MN 55443
(765) 458-1105
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/08/2008
Last updated
08/29/2008
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