EMMACULATE BIH AWASOM

EDEN PRAIRIE, MN
NPI1164279584
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN  11565)
Enumeration Date2024-05-03
Last Update Date2026-03-01
Business Address
EMMACULATE BIH AWASOM
14400 MARTIN DR
EDEN PRAIRIE, MN 55344-2031
Phone number: 952-254-4200
Mailing Address
EMMACULATE BIH AWASOM
14400 MARTIN DR
EDEN PRAIRIE, MN 55344-2031
Phone number: 952-254-4200