Individual
DANIELLE MAUREEN DEFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
50 MINNESOTA AVE, BRECKENRIDGE, MN 56520-1938
(218) 643-3871
Mailing address
50 MINNESOTA AVE, BRECKENRIDGE, MN 56520-1938
(218) 643-3871
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
807766
MN
Other
Enumeration date
02/20/2021
Last updated
02/20/2021
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