Individual
KATHLEEN MENACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1593 HEWITT AVE, SAINT PAUL, MN 55104-1221
(651) 645-9424
Mailing address
2060 CENTRE POINTE BLVD, SUITE 3, SAINT PAUL, MN 55120-1269
(651) 774-0011
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L045145-5
MN
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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