| NPI | 1588916282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE IHIOMA ONYEKABA Director 612-978-3783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MN 209405-6) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |