Individual
MS. DININA JOHNSON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 S 4TH ST, MINNEAPOLIS, MN 55454-1155
(952) 688-9499
Mailing address
1615 S 4TH ST, MINNEAPOLIS, MN 55454-1155
(952) 688-9499
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
7374559
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7374559
—
MN
Enumeration date
05/27/2021
Last updated
05/27/2021
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