PRINCESS GEHYIGON-WALLACE

FRIDLEY, MN
NPI1275190027
Former NamePRINCESS GEHYIGON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN  6598)
Enumeration Date2019-05-28
Last Update Date2023-02-22
Business Address
PRINCESS GEHYIGON-WALLACE
7362 UNIVERSITY AVE NE STE 310-3
FRIDLEY, MN 55432-3142
Phone number: 612-567-9587
Mailing Address
PRINCESS GEHYIGON-WALLACE
7362 UNIVERSITY AVE NE # 310-3
FRIDLEY, MN 55432-3142
Phone number: 651-628-9566