DEDRA LEE THEISEN

PRINCETON, MN
NPI1154627297
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: MN  R 185363-8)
Enumeration Date2011-02-08
Last Update Date2011-02-08
Business Address
-- DEDRA LEE THEISEN RN
14315 305TH AVE NW
PRINCETON, MN 55371-3648
Phone number: 612-987-0234
Mailing Address
-- DEDRA LEE THEISEN RN
14315 305TH AVE NW
PRINCETON, MN 55371-3648
Phone number: 612-987-0234