Mrs. Khadijah Desiree Brunner - White Bear Lake, MN

Mrs. Khadijah Desiree Brunner

Other Technician in White Bear Lake, Minnesota

NPI 1174282743

Khadijah Desiree Brunner is a Other Technician based in Saint Paul, MN. Khadijah Desiree Brunner practices in White Bear Lake, MN. The NPI Number for Khadijah Desiree Brunner is 1174282743 and holds a License No. (Minnesota).

The current practice location address for Khadijah Desiree Brunner is 1011 Meadowlands Dr, White Bear Lake, MN and can be reached out via phone at 612-315-1976.

Location: 1011 Meadowlands Dr, White Bear Lake, MN, 55106-3328

NPI Number

1174282743

Provider Name

Khadijah Desiree Brunner

Credential

Provider Entity Type

Individual

Gender

Female

Address

1011 Meadowlands Dr, White Bear Lake, MN, 55106-3328

Phone Number

612-315-1976

Fax Number

Provider Enumeration Date

12/10/2021

Last Update Date

03/10/2024

Address

1011 Meadowlands Dr

City

White Bear Lake

State

Minnesota

Zip

55127-2339

Phone Number

612-315-1976

Fax Number

Address

1011 Meadowlands Dr

City

White Bear Lake

State

Minnesota

Zip

55127-2339

Phone Number

612-315-1976

Fax Number

Type

Technologists, Technicians & Other Technical Service Providers

Classification

Technician, Other

Speciality

Taxonomy

247200000X

License No.

(Minnesota)

Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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