Individual
LILLIAN EUSTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 WEST AVE, RED WING, MN 55066-2473
(651) 385-6180
(651) 385-6195
Mailing address
426 WEST AVE, RED WING, MN 55066-2473
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R105889-9
MN
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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