| Mrs Matilda Kla-diihbah, LPN | |
|
14096 Gadwall Ln, Rogers, MN 55374-8769 | |
| (612) 708-0910 | |
| Not Available |
| Full Name | Mrs Matilda Kla-diihbah |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 14096 Gadwall Ln, Rogers, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942516893 | NPI | - | NPPES |
| 348032 | Other | MN | CLASS HOME HEALTH PROFESIONAL AGENCY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | L047935-6 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Matilda Kla-diihbah, LPN 5775 Wayzata Blvd, Suite 700, St Louis Park, MN 55416-1222 Ph: (612) 708-0910 | Mrs Matilda Kla-diihbah, LPN 14096 Gadwall Ln, Rogers, MN 55374-8769 Ph: (612) 708-0910 |
Tammy Lynn Woodward, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 21308 John Milless Dr, Suite 202, Rogers, MN 55374 Phone: 763-428-3510 | |
Stellah Aondo, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 13536 Aspen Dr, Rogers, MN 55374 Phone: 763-439-8808 |