Individual
ANN DETERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
19320 220TH ST, MASON CITY, IA 50401-9042
(641) 425-8336
Mailing address
19320 220TH ST, MASON CITY, IA 50401-9042
(641) 425-8336
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P31311
IA
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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