Individual
MAIKIA VUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 BROOKLYN BLVD, SUITE 112, BROOKLYN PARK, MN 55429-2517
(763) 205-9965
(763) 710-9178
Mailing address
5901 BROOKLYN BLVD, SUITE 112, BROOKLYN PARK, MN 55429-2517
(763) 205-9965
(763) 710-9178
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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