KIM MARIE MAKOUSKY

ROSEVILLE, MN
NPI1013214428
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MN  L394321)
Enumeration Date2011-02-21
Last Update Date2011-02-21
Business Address
-- KIM MARIE MAKOUSKY
2800 CLEVELAND AVE N
ROSEVILLE, MN 55113-1126
Phone number: 651-642-1825
Mailing Address
-- KIM MARIE MAKOUSKY
2800 CLEVELAND AVE N
ROSEVILLE, MN 55113-1126
Phone number: 651-642-1825