Individual
MS. RUTH A BLOMSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2443 LARPENTEUR AVE W, LAUDERDALE, MN 55113-5234
(651) 917-9800
Mailing address
2250 MARION RD, ROSEVILLE, MN 55113-3824
(651) 490-1727
(651) 636-0735
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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