Individual
KARTUMU B KEAMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11074 XYLON AVE N, CHAMPLIN, MN 55316-3703
(609) 516-1807
Mailing address
11074 XYLON AVE N, CHAMPLIN, MN 55316-3703
(609) 516-1807
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1112920
MN
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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