Individual
CASSIDY VLIEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 2ND AVE NW, PLAINVIEW, MN 55964-1222
(507) 951-3830
Mailing address
911 S 7TH ST, LAKE CITY, MN 55041-1808
(515) 333-1980
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
824819
MN
164W00000X
Licensed Practical Nurse
P64282
IA
Other
Enumeration date
07/09/2024
Last updated
07/10/2024
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