DIANE RENEE BANIGO

MINNEAPOLIS, MN
NPI1639139470
Former NameDIANE ISAAC
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: MN  R152803-1)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: MN  152803-1)
Enumeration Date2006-03-24
Last Update Date2018-03-17
Business Address
DIANE RENEE BANIGO CNM
3033 EXCELSIOR BLVD STE 585
MINNEAPOLIS, MN 55416-6400
Phone number: 612-345-5920
Mailing Address
DIANE RENEE BANIGO CNM
3033 EXCELSIOR BLVD STE 585
MINNEAPOLIS, MN 55416-6400
Phone number: 612-345-5920