Individual
REBECCA DANTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 43RD AVE N, NEW HOPE, MN 55428-5049
(612) 760-9889
Mailing address
7200 43RD AVE N, NEW HOPE, MN 55428
(612) 760-9889
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
MN
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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