Individual
MARY MARTIN ANGELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47781 SUNSET DR, SOLWAY, MN 56678-4493
(218) 854-7333
Mailing address
47781 SUNSET DR, SOLWAY, MN 56678-4493
(218) 854-7333
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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