BRENDA SIMASIKU RUSS

BURNSVILLE, MN
NPI1902579626
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN  8307)
Enumeration Date2021-07-28
Last Update Date2021-09-24
Business Address
BRENDA SIMASIKU RUSS
2105 W 143RD ST # 2ND
BURNSVILLE, MN 55306-8000
Phone number: 952-303-6832
Mailing Address
BRENDA SIMASIKU RUSS
10200 HIDDEN OAKS LN N
CHAMPLIN, MN 55316-3043
Phone number: 612-432-6964
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