Mr. EDWIN MOENGA BARAKE
Individual Provider (NPI-1)
Active
Registered Nurse, Home Health
Provider Information
- NPI Number
1013540392- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 11032 SWALLOW ST NW, COON RAPIDS, MN, 554334164
- Phone
- (612) 730-7706
Specialties & Taxonomies
Registered Nurse, Home Health
Primary License: MN #1801761