Individual
RENA NEVELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6231 ALDEN WAY NE, FRIDLEY, MN 55432-4824
(612) 702-5136
Mailing address
6231 ALDEN WAY NE, FRIDLEY, MN 55432-4824
(612) 702-5136
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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