Individual
MARIA LOURDES NOLASCO DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN,RN
Contact information
Practice address
6511 12TH AVE. S, RICHFIELD, MN 55423
(612) 273-5343
Mailing address
6511 12TH AVE S, RICHFIELD, MN 55423-1715
(612) 701-3065
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R158384-3
MN
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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