Individual
MCKENZIE ENEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN-RN, PHN
Contact information
Practice address
10752 NESBITT AVE S, BLOOMINGTON, MN 55437-2719
(952) 270-3779
Mailing address
10752 NESBITT AVE S, BLOOMINGTON, MN 55437-2719
(952) 270-3779
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 218982-2
MN
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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