Individual
MAURIETTA SURETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
224 PINE ST S, SAUK CENTRE, MN 56378-1335
(320) 266-2051
Mailing address
224 PINE ST S, SAUK CENTRE, MN 56378-1335
(320) 266-2051
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R198886-2
MN
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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