Most Relevant Information
Provider Data
NPI Number: | 1003301961 |
Provider Name: | MONA VINOD GAJERA |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 06/24/2018 |
Last Updated: | 04/01/2022 |
Provider Practice Location
14344 BURNHAVEN DR
BURNSVILLE
MN
553064928
Practice Location Phone/Fax
Phone: | 9524356221 |
Fax: |
Provider Mailing Location
1410 NICOLLET AVE APT 319
MINNEAPOLIS
MN
554032606
Provider Mailing Phone/Fax
Phone: | 6264191837 |
Fax: |