Individual
YEHUDIS RENA LAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 MONTEREY AVE S, ST LOUIS PARK, MN 55416-3944
(952) 261-3164
Mailing address
2715 MONTEREY AVE S, ST LOUIS PARK, MN 55416-3944
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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