DAIDRIE ANN PROMERSBERGER

BEMIDJI, MN
NPI1366797102
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2012-07-18
Last Update Date2017-01-18
Business Address
-- DAIDRIE ANN PROMERSBERGER RDH
1405 ANNE ST NW
BEMIDJI, MN 56601-5113
Phone number: 218-444-9646
Mailing Address
-- DAIDRIE ANN PROMERSBERGER RDH
1405 ANNE ST NW
BEMIDJI, MN 56601-5113
Phone number: