Individual
BRIANNA CARLEEN HEIEIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 1ST AVE N, MOORHEAD, MN 56560-2278
(218) 275-6602
Mailing address
1530 1ST AVE N, MOORHEAD, MN 56560-2278
(218) 275-6602
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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