Individual
KOLAWOLE LOOKMAN AMUSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7790 HIGHPOINTE RD, WOODBURY, MN 55125-1633
(651) 442-1716
Mailing address
7790 HIGHPOINTE RD, WOODBURY, MN 55125-1633
(651) 442-1716
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
390397
MN
163WH0200X
Home Health Registered Nurse
Primary
390397
MN
163WH0200X
Home Health Registered Nurse
R-127815-8
MN
163WH0200X
Home Health Registered Nurse
R-1610059
MN
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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