Individual
MICHELE LYNN BEITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17065 130TH AVE NE, THIEF RIVER FALLS, MN 56701-8524
(218) 688-1221
Mailing address
17065 130TH AVE NE, THIEF RIVER FALLS, MN 56701-8524
(218) 688-1221
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
617930
MN
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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