Aicha Bennetta Heassler
Private Vehicle in Edina, MN. Individual provider (NPI-1).
NPI number1932957230
StatusActive
Last updated in NPPESMay 25, 2024
Details
- NPI
- 1932957230
- Entity type
- Individual (NPI-1)
- Name
- Aicha Bennetta Heassler
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 10, 2024
- Certification date
- May 25, 2024
- Last updated
- May 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | L000106085700 | MN | Yes |
Practice location
5200 Willson Rd Ste 150Edina, MN 55424-1300
Phone 612-396-3525
Mailing address
5200 Willson Rd Ste 150Edina, MN 55424-1300
Phone 612-396-3525
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