AGNES LIMUNGA JACKAI

BLAINE, MN
NPI1891403135
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN  Pending)
Enumeration Date2022-11-07
Last Update Date2023-03-22
Business Address
AGNES LIMUNGA JACKAI APRN, CNP, PMHNP-BC
12125 VERMILLION ST NE UNIT E
BLAINE, MN 55449-5678
Phone number: 612-598-3937
Mailing Address
AGNES LIMUNGA JACKAI APRN, CNP, PMHNP-BC
12125 VERMILLION ST NE UNIT E
BLAINE, MN 55449-5678
Phone number: 612-598-3937
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