Individual
ALANA NICOLE SUNDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13640 205TH ST N, SCANDIA, MN 55073-9582
(651) 402-9499
Mailing address
13640 205TH ST N, SCANDIA, MN 55073-9582
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1084281
MN
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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