Individual
FADEKE JUSTINA FENSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1285 70TH ST W, INVER GROVE HEIGHTS, MN 55077-2305
(651) 497-1602
Mailing address
1285 70TH ST W, INVER GROVE HEIGHTS, MN 55077-2305
(651) 497-1602
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
166158-7
MN
Other
Enumeration date
04/16/2010
Last updated
04/16/2010
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