Fayine H Wako
NPI #1790482578 in Cottage Grove, Minnesota
Provider Information
- NPI Number
- 1790482578
- Entity Type
- Individual
- Name
- Fayine H Wako
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Feb 13, 2023
- Last Updated
- Feb 13, 2023
Practice Location
- Address
- 9408 DUNES LN
- City
- Cottage Grove
- State
- Minnesota
- ZIP Code
- 55016-4681
- Phone
- (651) 307-4624
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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