Individual
DAWN MARIE VILLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5409 3RD AVE S, MINNEAPOLIS, MN 55419-1419
(612) 716-0412
Mailing address
5409 3RD AVE S, MINNEAPOLIS, MN 55419-1419
(612) 716-0412
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2144511
MN
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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