Individual
MONICA JOLENE MOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5185
Mailing address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5185
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 168767-1
MN
Other
Enumeration date
11/10/2010
Last updated
07/30/2013
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