Individual
LOVETH AMAYANVBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADMINISTRATOR
Contact information
Practice address
5901 BROOKLYN BLVD, STE 211, BROOKLYN CENTER, MN 55429-2517
(763) 971-8888
(763) 971-8892
Mailing address
5901 BROOKLYN BLVD, STE 211, BROOKLYN CENTER, MN 55429-2517
(763) 971-8888
(763) 971-8892
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
07/09/2007
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