Individual
PEGGY ANN SALONEKPETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-1313
Mailing address
17989 WEAVER LAKE DR, MAPLE GROVE, MN 55311-1332
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R0703310
MN
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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