NPI | 1003245929 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA L JAUREGUI Office Manager 651-451-3311 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 0212447) |
Enumeration Date | 2013-11-01 |
Last Update Date | 2013-11-04 |