Individual
KELSEY ANN BLOMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 CENTRAL AVE E, SAINT MICHAEL, MN 55376-9632
(763) 497-6632
Mailing address
11010 ISANTI CT NE, BLAINE, MN 55449-6107
(320) 290-4438
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123949
MN
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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