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Organization

TRAVELING ANGEL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEANETTE MARTINA VOLK KROHN LICENSED PRACTICAL N (OWNER HOME CARE NURSE)
(612) 483-2349
Entity
Organization

Contact information

Practice address
6632 STATE 26, LA CRESCENT, MN 55947-0163
(612) 483-2349
(507) 894-4570
Mailing address
3136 FLORIDA AVENUE S, ST. LOUIS PARK, MN 55426
(612) 483-2349
(507) 894-4570

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
07/16/2007
Last updated
07/20/2007
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