AWAH L DITAH

WOODBURY, MN
NPI1851982557
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  2020044322)
Enumeration Date2021-01-27
Last Update Date2024-03-19
Business Address
AWAH L DITAH NP
237 RADIO DR STE 210
WOODBURY, MN 55125-4478
Phone number: 612-871-1145
Mailing Address
AWAH L DITAH NP
PO BOX 14909
MINNEAPOLIS, MN 55414-0909
Phone number: 612-871-1145
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