Tona, Antenalu Desta

Tona, Antenalu Desta is an individual health care provider with primary practice located at 8340 5Th St Ne , Spring Lake Park MN 55432-1135. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Tona, Antenalu Desta can be contacted via phone (612) 886-5439.

Contact Information

Primary practice address
8340 5Th St Ne Spring Lake Park MN 55432-1135
Phone: (612) 886-5439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 10993 Minnesota

Profile Details

NPI number 1679348247
LBN Legal business name Tona, Antenalu Desta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2023
Last updated Nov 23rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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