Individual
CAROL S MIETTUNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
508 12TH ST N, VIRGINIA, MN 55792-2222
(218) 749-1845
Mailing address
508 12TH ST N, VIRGINIA, MN 55792-2222
(218) 749-1845
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R 174511-5
MN
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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