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Juan-ita Effiom, OTR
Specialist in Richfield, Minnesota
NPI 1528413150

Juan-ita Effiom is a Specialist based in Richfield, MN. Juan-ita Effiom practices in Richfield, MN and has the professional credentials of OTR. The NPI Number for Juan-ita Effiom is 1528413150 and holds a License No. 105137 (Minnesota).

The current practice location address for Juan-ita Effiom is 7727 Portland Ave, Richfield, MN and can be reached out via phone at 612-861-2135.

Location: 7727 Portland Ave, Richfield, MN, 55423-4320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528413150
Provider Name
Juan-ita Effiom
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
7727 Portland Ave, Richfield, MN, 55423-4320
Phone Number
612-861-2135
Fax Number
Provider Enumeration Date
05/02/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7727 Portland Ave
City
Richfield
State
Minnesota
Zip
55423-4320
Phone Number
612-861-2135
Fax Number
person
Provider Business Mailing Address Details
Address
7727 Portland Ave
City
Richfield
State
Minnesota
Zip
55423-4320
Phone Number
612-861-2135
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
105137 (Minnesota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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