Individual
MRS. SAUNDRA LYNN MCKISSIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1419 PENN AVE N, MINNEAPOLIS, MN 55411-3049
(612) 522-5232
(612) 522-5232
Mailing address
1419 PENN AVE N, MINNEAPOLIS, MN 55411-3049
(612) 522-5232
(612) 522-5232
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
L 67360-2
MN
Other
Enumeration date
06/05/2010
Last updated
11/06/2013
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