Individual
MALIKI FOFEE KAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2451 109TH AVE NW APT. 1, COON RAPIDS, MN 55433
(763) 923-8926
Mailing address
2451 109TH AVE NW APT. 1, COON RAPIDS, MN 55433
(763) 923-8926
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
818501
MN
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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