Mrs. Khadijah Desiree Brunner
Mrs. Khadijah Desiree Brunner is an Other Technician in White Bear Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.
- Licensed in
- MN
- In the registry since
- 2021
Practice location Address checks out
1011 Meadowlands DrWhite Bear Lake, MN 55127-2339
Phone: (612) 315-1976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X (MN) |
|---|
Record details
| NPI number | 1174282743 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 10, 2021 |
| Last updated in NPPES | December 12, 2021 |
| Certification date | December 12, 2021 |
Other providers in White Bear Lake
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Jenna Breseman
1011 Meadowlands Dr Ste 1AND2, White Bear Lake, MN 55127-2339 · (612) 260-8432
-
Amber Creel
1011 Meadowlands Dr Ste 1&2, White Bear Lake, MN 55127-2339 · (507) 322-7752
-
Paige Ellefson
1011 Meadowlands Dr Ste 1&2, White Bear Lake, MN 55127-2339 · (612) 315-1976
-
Jamie Lynn Farley
1011 Meadowlands Dr Ste 1&2, White Bear Lake, MN 55127-2339 · (507) 322-7752
-
Cynthia Nicole Finnvik
1011 Meadowlands Dr Ste 1&2, White Bear Lake, MN 55127-2339 · (612) 315-1976