EBTISAM WAIS

SAINT PAUL, MN
NPI1013685098
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  14700)
Enumeration Date2021-09-02
Last Update Date2024-04-04
Business Address
EBTISAM WAIS
640 JACKSON ST
SAINT PAUL, MN 55101-2502
Phone number: 651-254-3456
Mailing Address
EBTISAM WAIS
640 JACKSON ST
SAINT PAUL, MN 55101-2502
Phone number:
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