Individual
VICTOR G. MAKORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17017 GEORGETOWN WAY, ROSEMOUNT, MN 55068-5159
(612) 290-9608
Mailing address
17017 GEORGETOWN WAY, ROSEMOUNT, MN 55068-5159
(612) 290-9608
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2300
—
MN
Enumeration date
05/15/2019
Last updated
05/15/2019
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