Individual
IFTIN GUDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8085 WAYZATA BLVD, MINNEAPOLIS, MN 55426-1453
(612) 481-0934
Mailing address
4102 S MEADOWLARK RD, EAGAN, MN 55122-1763
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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