INGRID SULISTYO

MENDOTA HEIGHTS, MN
NPI1053901116
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-01-22
Last Update Date2021-01-22
Business Address
INGRID SULISTYO
2060 CENTRE POINTE BLVD STE 3
MENDOTA HEIGHTS, MN 55120-1271
Phone number: 866-822-7464
Mailing Address
INGRID SULISTYO
1301 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-2187
Phone number: