Individual
LYNN ELLA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9981 90TH AVE, MILACA, MN 56353-4502
(320) 267-0897
Mailing address
9981 90TH AVE, MILACA, MN 56353-4502
(320) 267-0897
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HE-01084-04
MN
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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