Organization
817 MARSHALL AVE
Active
Other names
Key's To Best Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANNA ROXANNE PITTMAN RN (PRIVTE DUTY NURSE)
(763) 202-8808
Entity
Organization
Contact information
Practice address
817 MARSHALL AVE, SAINT PAUL, MN 55104-6651
(763) 202-8808
(651) 291-2739
Mailing address
817 MARSHALL AVE, SAINT PAUL, MN 55104-6651
(763) 202-8808
(651) 291-2739
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
R171403-6
MN
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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