Individual
ESTHER IDOWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 112TH LN NE, BLAINE, MN 55434-4547
(612) 735-1096
Mailing address
2119 110TH LN NW, COON RAPIDS, MN 55433-4173
(612) 456-6090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2424231
MN
163WC1500X
Community Health Registered Nurse
33219
MN
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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