Individual
DR. MARTHA ELIZABETH SO HUERTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 TEXAS AVE S, ST LOUIS PARK, MN 55426-4057
(952) 933-3177
Mailing address
3620 TEXAS AVE S, ST LOUIS PARK, MN 55426-4057
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123570
MN
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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