Individual
HENRY MOMANYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6773 DEERWOOD LN N, MAPLE GROVE, MN 55369-5530
(612) 598-8555
Mailing address
6773 DEERWOOD LN N, MAPLE GROVE, MN 55369-5530
(612) 598-8555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9297
MN
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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