Susan Lucy Ninham

NPI #1407421738 in Redlake, Minnesota

Provider Information

NPI Number: 1407421738
Entity Type: Individual
Name: Susan Lucy Ninham
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: May 20, 2021
Last Updated: May 20, 2021

Practice Location

Address: 24760 HOSPITAL DR NW
City: Redlake
State: Minnesota
ZIP Code: 56671-0249
Phone: (218) 679-0118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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