Individual
DAISHIANA LUISA MALAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5775 WAYZATA BLVD STE 700, ST LOUIS PARK, MN 55416-1233
(763) 316-1878
Mailing address
5775 WAYZATA BLVD STE 700, ST LOUIS PARK, MN 55416-1233
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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