Individual
RONDA ELLEVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1600 SAINT JOHNS BLVD STE 101, MAPLEWOOD, MN 55109-1190
(651) 968-5200
Mailing address
1600 ST. JOHNS BLVD #101, MAPLEWOOD, MN 55109
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1460
MN
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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