Individual
KAYLA OWANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
924 ORIOLE DR, APPLE VALLEY, MN 55124-8979
(317) 728-9873
Mailing address
924 ORIOLE DR, APPLE VALLEY, MN 55124-8979
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2463943
MN
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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