NPI 1134543978
Daniel Gboeah
Practice location
- Address
- 8216 Logan Ave N, Brooklyn Park, MN 55444-1529
- Phone
- (763) 546-1489
- Fax
- (763) 546-1513
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1134543978
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Feb 2014
- Record last updated
- 14 Feb 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.