SHANA KATHLYN KONGSJORD

DEER RIVER, MN
NPI1750606984
Former NameSHANA KATHLYN FIDELDY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MN  R179908-0)
Enumeration Date2010-03-31
Last Update Date2011-04-29
Business Address
-- SHANA KATHLYN KONGSJORD CNP
1025 10TH AVE NE DULUTH CLINIC DEER RIVER
DEER RIVER, MN 56636-8703
Phone number: 218-246-8275
Mailing Address
-- SHANA KATHLYN KONGSJORD CNP
1025 10TH AVE NE DULUTH CLINIC DEER RIVER
DEER RIVER, MN 56636-8703
Phone number: 218-246-8275