Individual
ANGELA TRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9346 OAK AVE, WACONIA, MN 55387-9422
(952) 223-2506
Mailing address
9346 OAK AVE, WACONIA, MN 55387-9422
(952) 223-2506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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