Individual provider · NPI-1

Angelique Biakasasa Kapila

Home Health Aide · Maple Grove, MN

NPI number1851953343
StatusActive
Last updated in NPPESJul 3, 2019

Details

NPI
1851953343
Entity type
Individual (NPI-1)
Name
Angelique Biakasasa Kapila
Sex
Female
Sole proprietor
No
Enumeration date
Jul 3, 2019
Last updated
Jul 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

11670 Fountains Dr Ste 200
Maple Grove, MN 55369-7195

Phone 763-227-8846

Mailing address

11670 Fountains Dr Ste 200
Maple Grove, MN 55369-7195

Phone 763-227-8846

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