817 Marshall Ave

NPI 1013140805 - Nursing Care - 251J00000X

NPI Details
NPI 1013140805
Enumeration Date 08/27/2009
Last Updated 08/27/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CHANNA ROXANNE CHANNA
Position PRIVTE DUTY NURSE
Phone (763) 202-8808
Fax (651) 291-2739
Practice Location
817 MARSHALL AVE
SAINT PAUL MN, 55104-6651, US
Phone (763) 202-8808
Fax (651) 291-2739
Business Location
817 MARSHALL AVE
SAINT PAUL MN, 55104-6651, US
Phone (763) 202-8808
Fax (651) 291-2739
Toxanomy
Taxonomy Code 251J00000X
License State Minnesota
License Number R171403-6
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According to our database, 817 Marshall Ave NPI is 1013140805, taxonomy code is 251J00000X and license number is R171403-6, license state is located at Minnesota. 817 Marshall Ave physically located at 817 Marshall Ave, Saint Paul MN, 55104-6651. NPI Number 1033115704 has the healthcare provider type.

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1013140805 NPI number is provided on an as is basis without warranty of any kind. 1013140805 is maintained by the National Plan & Provider Enumeration System. The contents of 817 Marshall Ave are for informational purposes only.