SearchMinnesota311ZA0620X

Selome Dereje

NPI 1811807852 · on the registry since 2026 · sole proprietor

Practice

Address
7071 Upper 164th St W
Rosemount, MN 55068
Phone
(651) 329-2807

Registry record

Primary taxonomy
311ZA0620X
311ZA0620X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota