CHALA MASSINOPLE

SAINT PAUL, MN
NPI1164071288
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: MN  433)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: AZ  CNM05642)
367A00000X Advanced Practice Midwife
(Licence: AZ  230927)
Enumeration Date2019-09-11
Last Update Date2020-06-19
Business Address
CHALA MASSINOPLE CNM
671 VANDALIA ST
SAINT PAUL, MN 55114-1312
Phone number: 651-696-5674
Mailing Address
CHALA MASSINOPLE CNM
671 VANDALIA ST
SAINT PAUL, MN 55114-1312
Phone number: