Individual
MS. MULU EDESSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3803 E 54TH ST, MINNEAPOLIS, MN 55417-2240
(612) 598-0064
Mailing address
3803 E 54TH ST, MINNEAPOLIS, MN 55417-2240
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
817554
MN
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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