Individual
JUDITH NIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
301 PARK DR, OWATONNA, MN 55060-5639
(507) 451-1771
Mailing address
235 W HOLLY ST, OWATONNA, MN 55060-3731
(507) 456-7010
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
732637
MN
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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