Individual
RELINDIS ANGIRISA MOFFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 EXCHANGE ST S, SAINT PAUL, MN 55102-2311
(651) 227-0336
Mailing address
1597 HILO AVE N, OAKDALE, MN 55128-5620
(651) 283-3546
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
164080-9
MN
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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