Individual
BRENDA FROMOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 E 26TH ST, MINNEAPOLIS, MN 55404-4514
(612) 775-5563
Mailing address
902 E 26TH ST, MINNEAPOLIS, MN 55404-4514
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2046965
MN
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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