Individual
THOMAS CARAVELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14745 CAMERO LN, ROSEMOUNT, MN 55068-4405
(651) 353-6484
Mailing address
14745 CAMERO LN, ROSEMOUNT, MN 55068-4405
(651) 353-6484
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R145002-8
MN
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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