Individual
DORETTE MEFEUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1157 129TH AVE NE, BLAINE, MN 55434-4037
(612) 272-1796
Mailing address
1157 129TH AVE NE, BLAINE, MN 55434-4037
(612) 272-1796
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
41371
MN
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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