Individual
MS. DOROTHY TONJA HARDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1706 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3614
(612) 326-7590
Mailing address
404 CENTRAL AVE W, SAINT PAUL, MN 55103-2248
(763) 742-0836
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L67315-2
MN
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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