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Individual

CAROL RIEGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5336 RUSSELL AVE N, BROOKLYN CENTER, MN 55430-2950
(763) 571-5588
Mailing address
5336 RUSSELL AVE N, BROOKLYN CENTER, MN 55430-2950
(763) 571-5588

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
P94618200319
MN
372500000X
Chore Provider
3747P1801X
Personal Care Attendant
Primary
374U00000X
Home Health Aide
376J00000X
Homemaker

Other

Enumeration date
06/10/2016
Last updated
06/18/2016
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