LUCIA RODERIQUE

ST LOUIS PARK, MN
NPI1245953595
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: MN  539)
Additional Taxonomies176B00000X Midwife
(Licence: MN  539)
Enumeration Date2022-09-21
Last Update Date2024-09-09
Business Address
LUCIA RODERIQUE
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426-4702
Phone number: 952-993-3282
Mailing Address
LUCIA RODERIQUE
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number: