Individual
LUL B UMUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14300 34TH AVE N APT 308, PLYMOUTH, MN 55447-5206
(952) 688-6455
Mailing address
14300 34TH AVE N APT 308, PLYMOUTH, MN 55447-5206
(952) 688-6455
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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