Individual
MAKAVIE J KANNEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6350 67TH AVE N, BROOKLYN PARK, MN 55428-2466
(267) 575-1473
Mailing address
6350 67TH AVE N, BROOKLYN PARK, MN 55428-2466
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MN
Other
Enumeration date
10/18/2021
Last updated
02/02/2023
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