EMMANUEL RANDOLPH WHEAGAR

BROOKLYN PARK, MN
NPI1235762667
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies374U00000X Home Health Aide
Enumeration Date2020-02-13
Last Update Date2020-02-13
Business Address
Mr. EMMANUEL RANDOLPH WHEAGAR
6248 LAKELAND AVE N
BROOKLYN PARK, MN 55428-2986
Phone number: 848-230-1286
Mailing Address
Mr. EMMANUEL RANDOLPH WHEAGAR
6248 LAKELAND AVE N STE 208
BROOKLYN PARK, MN 55428-2989
Phone number: 848-230-1286