Individual
BETTY NYABOKE MATIESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7691 CENTRAL AVENUE NE, SUITE 102, FRIDLEY, MN 55432-3560
(763) 572-2390
(763) 574-2459
Mailing address
7691 CENTRAL AVENUE NE, SUITE 102, FRIDLEY, MN 55432-3560
(763) 572-2390
(763) 574-2459
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2478964
MN
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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