Individual
COURTNEY STICHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W COLLEGE AVE, SAINT PETER, MN 56082-1485
(651) 313-0414
Mailing address
15152 ISETTA ST NE, HAM LAKE, MN 55304-6530
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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