Individual
REBECCA SCHEIDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 GLENWOOD ST SW, ISANTI, MN 55040-7452
(217) 801-6023
Mailing address
330 EXCHANGE ST S, SAINT PAUL, MN 55102-2397
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
821653
MN
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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