Individual
SANDRA LYNN HOLTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC, NMT
Contact information
Practice address
6701 COUNTRY CLUB DR, GOLDEN VALLEY, MN 55427-4602
(952) 993-6061
Mailing address
5465 VINEWOOD LN N, PLYMOUTH, MN 55442-1766
(763) 557-0168
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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