Individual
RUMDUOL C VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3084 MARCIA LN, SHAKOPEE, MN 55379-9462
(952) 496-1384
Mailing address
3084 MARCIA LN, SHAKOPEE, MN 55379-9462
(952) 496-1384
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
MN
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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