Individual
MR. VARGHESE DANIEL KOTTARATHIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14085 350TH ST, LINDSTROM, MN 55045-9059
(612) 999-4320
Mailing address
14085 350TH ST, LINDSTROM, MN 55045-9059
(612) 999-4320
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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