Individual
DANIELLE KALOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12567 5TH AVE N STE 100, ZIMMERMAN, MN 55398-8453
(763) 856-9955
Mailing address
13465 3RD AVE S, ZIMMERMAN, MN 55398-4500
(763) 856-9955
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
208860-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208860-6
—
MN
Enumeration date
03/05/2014
Last updated
03/05/2014
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