Individual
ALEMU KASSA RETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15251 PLEASANT VALLEY RD, CENTER CITY, MN 55012-9640
(651) 213-4984
Mailing address
3318 138TH AVE NW, ANDOVER, MN 55304-7508
(612) 978-2232
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9751
MN
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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