MARY ALYSSA TERRA

MANKATO, MN
NPI1437560299
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  59590)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-05-14
Last Update Date2019-06-10
Business Address
MARY ALYSSA TERRA D.O.
101 MARTIN LUTHER KING DR
MANKATO, MN 56001-6460
Phone number: 507-837-4164
Mailing Address
MARY ALYSSA TERRA D.O.
101 MARTIN LUTHER KING DR
MANKATO, MN 56001-6460
Phone number: 507-837-4164