Individual
MRS. RANDA HELMY WISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7135 E POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-3014
(651) 459-7015
(651) 459-1922
Mailing address
7216 BALDWIN AVE, INVER GROVE HEIGHTS, MN 55077-3110
(651) 455-8564
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118760
MN
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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