TRISTA LEE-IREY HENRICKSON

ROSEVILLE, MN
NPI1427355783
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MN  L621887)
Enumeration Date2011-02-23
Last Update Date2011-02-23
Business Address
-- TRISTA LEE-IREY HENRICKSON
2800 CLEVELAND AVE N
ROSEVILLE, MN 55113-1126
Phone number: 651-642-1825
Mailing Address
-- TRISTA LEE-IREY HENRICKSON
2800 CLEVELAND AVE N
ROSEVILLE, MN 55113-1126
Phone number: 651-642-1825
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