Individual
MA LOURDES YEPES DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2017 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-4121
(763) 757-5615
Mailing address
1295 129TH LN NE, BLAINE, MN 55434-4009
(612) 212-7730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118435
MN
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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