Individual
FADUMA SARA DEGHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 GODWARD ST NE STE 6650, MINNEAPOLIS, MN 55413-2960
(612) 353-4669
(612) 354-2403
Mailing address
1300 GODWARD ST NE STE 6650, MINNEAPOLIS, MN 55413-2960
(612) 353-4669
(612) 354-2403
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R225290-8
MN
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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