Individual
MRS. AWANA ARKEESHIA PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 E 54TH ST, MINNEAPOLIS, MN 55417-2240
(612) 483-1864
Mailing address
3801 E 54TH ST, MINNEAPOLIS, MN 55417-2240
(612) 483-1864
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MN
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
10/28/2008
Last updated
11/05/2008
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