Individual
CECILE NONO KETCHAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12801 137TH AVE N, DAYTON, MN 55327-7504
(651) 233-9059
Mailing address
12801 137TH AVE N, DAYTON, MN 55327-7504
(651) 233-9059
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2457517
MN
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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