MICHAEL OMOMO

SAVAGE, MN
NPI1427657139
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN  7837)
Enumeration Date2020-10-22
Last Update Date2021-06-08
Business Address
MICHAEL OMOMO
8640 EAGLE CREEK CIR
SAVAGE, MN 55378-4400
Phone number: 651-600-2567
Mailing Address
MICHAEL OMOMO
8640 EAGLE CREEK CIR
SAVAGE, MN 55378-4400
Phone number: