Individual
MS. TONYA MARIE MORTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
106 4TH AVE N, FERGUS FALLS, MN 56537-1034
(218) 998-3778
Mailing address
119 EAST MAPLE AVE, FRAZEE, MN 56544
(218) 841-3497
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R187626-2
MN
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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