NPI 1407614704

Susan W Macharia

Practitioner Driver Apple Valley, MN

Practice location

Address: 6808 158th St W, Apple Valley, MN 55124-6027
Phone: (952) 992-0617

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence L792-152-834-118 (MN)

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Registry record

NPI: 1407614704
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Mar 2024
Record last updated: 11 Mar 2024

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.