Individual
MR. KEMO MARONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9618 SCOTT LN N, BROOKLYN PARK, MN 55443-5101
(320) 291-8635
Mailing address
9618 SCOTT LN N, BROOKLYN PARK, MN 55443-5101
(320) 291-8635
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA 1801
MN
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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