Individual
STELLA C CHEMARUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6853 99TH ST S, COTTAGE GROVE, MN 55016-1071
(612) 600-2856
Mailing address
6853 99TH ST S, COTTAGE GROVE, MN 55016-1071
(612) 600-2856
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8177
MN
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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