Individual
PONCIANA W SAJULGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1007 KERBER PASS, CHASKA, MN 55318-5403
(952) 215-1411
Mailing address
1007 KERBER PASS, CHASKA, MN 55318-5403
(952) 215-1411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1892327
MN
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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