Individual
RILIE MERCEDES SULARZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 BASSETT DR, MANKATO, MN 56001-6569
(507) 682-7100
(507) 316-0982
Mailing address
58575 KIRKWOOD RD, MANKATO, MN 56001-7834
(320) 339-8150
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MN
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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