Individual
SIA DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9119 REGENT PKWY, BROOKLYN PARK, MN 55443-1660
(763) 888-6328
Mailing address
9119 REGENT PKWY, BROOKLYN PARK, MN 55443-1660
(763) 442-1162
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1660517
MN
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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