IRENE CAROLYN DETVILER

SAINT PAUL, MN
NPI1417061029
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: MN  R068147-4)
Enumeration Date2006-08-19
Last Update Date2007-07-08
Business Address
-- IRENE CAROLYN DETVILER RN
255 SMITH AVE N
SAINT PAUL, MN 55102-2572
Phone number: 651-292-0616
Mailing Address
-- IRENE CAROLYN DETVILER RN
7806 IRISH AVE S
COTTAGE GROVE, MN 55016-2072
Phone number: 651-459-2596