| NPI | 1437027612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOWSA D SABTOW Owner 612-540-8035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2025-10-28 |