Individual
CHIATUOGU UKAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1239 PAYNE AVE, SUITE 200, SAINT PAUL, MN 55130-3538
(651) 209-8350
(651) 209-8353
Mailing address
8814 PHEASANT RUN RD, WOODBURY, MN 55125-8887
(651) 702-5631
(651) 731-7616
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 143046-2
MN
Other
Enumeration date
05/21/2007
Last updated
05/15/2012
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