Individual
CHRISTINE MAZANEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3424 W PARK DR, BURNSVILLE, MN 55306-6981
(612) 802-4210
Mailing address
3424 W PARK DR, BURNSVILLE, MN 55306-6981
(612) 802-4210
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R130202-4
MN
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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