Individual
MRS. RACHEL SUZANNE GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., B.S.N
Contact information
Practice address
17087 TRILLIUM LN, BIG LAKE, MN 55309-5202
(763) 682-3005
Mailing address
17087 TRILLIUM LN, BIG LAKE, MN 55309-5202
(763) 682-3005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 230127-3
MN
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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