BRENDA JEAN HANSEN

FLOODWOOD, MN
NPI1235397381
Former NameBRENDA JEAN PETERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QD1600X Clinic/Center, Developmental Disabilities
(Licence: MN  830452)
Enumeration Date2008-05-27
Last Update Date2008-05-27
Business Address
-- BRENDA JEAN HANSEN
425 6TH AVENUE WEST
FLOODWOOD, MN 55736
Phone number: 218-390-6167
Mailing Address
-- BRENDA JEAN HANSEN
9021 EKLUND RD
BROOKSTON, MN 55711-8005
Phone number: 218-453-5684