Individual
VIRGINIA ITZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 FRANKFORD AVE S, HERMAN, MN 56248-2094
(320) 219-0610
Mailing address
407 FRANKFORD AVE S, HERMAN, MN 56248-2094
(320) 219-0610
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
MN
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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