Ebise Bayisa
Ebise Bayisa is a Child Physical Disabilities Respite Care in Blaine, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.
- Licensed in
- MN
- In the registry since
- 2021
Practice location Address checks out
12457 Midway Cir NEBlaine, MN 55449-6228
Phone: (612) 423-5057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child Physical Disabilities Respite Care (primary) | Taxonomy 385HR2065X (MN) |
|---|
Record details
| NPI number | 1538745047 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 23, 2021 |
| Last updated in NPPES | March 23, 2021 |
| Certification date | March 23, 2021 |
| Mailing address | 12457 Midway Cir Ne, Blaine, MN 55449-6228 |