Individual
HELENA MUSU KIDAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 ABLE ST NE, BLAINE, MN 55434-2521
(920) 940-4219
Mailing address
2119 110TH LN NW, COON RAPIDS, MN 55433-4173
(612) 456-6090
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
824213
MN
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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