Individual
CHENAYI N SHAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4864 HEATHER RIDGE RD N, OAKDALE, MN 55128-2228
(612) 516-1057
Mailing address
4864 HEATHER RIDGE RD N, OAKDALE, MN 55128-2228
(612) 516-1057
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1110802
MN
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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