Individual
TERRA WIENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 EMERALD ST APT 105, SAINT PAUL, MN 55114-1442
(316) 251-2744
Mailing address
820 EMERALD ST APT 105, SAINT PAUL, MN 55114-1442
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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