Individual
GLADYS N NYABWARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9317 MINNESOTA LN N, MAPLE GROVE, MN 55369-4444
(763) 489-8422
Mailing address
9317 MINNESOTA LN N, MAPLE GROVE, MN 55369-4444
(763) 489-8422
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/04/2020
Last updated
01/04/2020
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