Individual
STEPHEN EVANS OMONDI MENYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
4123 W BROADWAY AVE, ROBBINSDALE, MN 55422-1808
(763) 535-0700
Mailing address
4123 W BROADWAY AVE, ROBBINSDALE, MN 55422-1808
(763) 535-0700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5972
MN
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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