BERNICE MAMANA
Individual Provider (NPI-1)
Active
Registered Nurse, Home Health
Provider Information
- NPI Number
1396500369- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 10805 173RD ST W, LAKEVILLE, MN, 550445335
- Phone
- (612) 247-0031
Specialties & Taxonomies
Registered Nurse, Home Health
Primary License: MN #2491111
All Addresses
MAILING
10805 173RD ST W APT 220
LAKEVILLE, MN, 550445340