Individual
HANNAH EHALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8290 KENNEDY CT, ST BONIFACIUS, MN 55375-1207
(612) 306-8729
Mailing address
8290 KENNEDY CT, ST BONIFACIUS, MN 55375-1207
(612) 306-8729
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R224488-0
MN
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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