Individual
ZAIRA REBOLLAR MARCOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3751 17TH AVE S, MINNEAPOLIS, MN 55407-2807
(612) 721-6118
Mailing address
8157 WYOMING AVE N, MINNEAPOLIS, MN 55445-2454
(763) 202-2611
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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