Individual
MA-RETTA CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4815 BURNING TREE RD, DULUTH, MN 55811-3800
(218) 733-0707
Mailing address
4815 BURNING TREE RD, DULUTH, MN 55811-3800
(218) 733-0707
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
103098
WI
163WC0400X
Case Management Registered Nurse
Primary
R115443-4
MN
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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