Individual
MRS. BENENON TAH PERERVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
6701 RICHFIELD PKWY APT C217, RICHFIELD, MN 55423-7525
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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