Individual
TERESA KERUBO NYAKUNDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17863 ESSEX LN, LAKEVILLE, MN 55044-4825
(612) 735-0182
Mailing address
17863 ESSEX LN, LAKEVILLE, MN 55044-4825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2474188
MN
Other
Enumeration date
09/09/2025
Last updated
12/08/2025
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