Individual
MARTA B YAKOVLEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,
Contact information
Practice address
3605 104TH AVE N, BROOKLYN PARK, MN 55443-1015
(612) 723-6682
Mailing address
3605 104TH AVE N, BROOKLYN PARK, MN 55443-1015
(612) 723-6682
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R2297413
MN
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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