Individual
LOIS ADEFUNKE AMUSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10031 HONEYSUCKLE AVE N, BROOKLYN PARK, MN 55443-1597
(651) 278-7010
Mailing address
10031 HONEYSUCKLE AVE N, BROOKLYN PARK, MN 55443-1597
(651) 278-7010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R188698-0
MN
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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