TRISTAN PENNELLA

MANKATO, MN
NPI1356923361
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-28
Last Update Date2021-05-21
Business Address
TRISTAN PENNELLA DO
101 MARTIN LUTHER KING DR
MANKATO, MN 56001-6460
Phone number: 507-594-6572
Mailing Address
TRISTAN PENNELLA DO
101 MARTIN LUTHER KING DR
MANKATO, MN 56001-6460
Phone number: 507-594-6572
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