Individual
AJAA OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
3606 ZENITH AVE N, ROBBINSDALE, MN 55422
(763) 486-7053
Mailing address
3606 ZENITH AVE N, ROBBINSDALE, MN 55422-2315
(763) 486-7053
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2462101
MN
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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