Individual
ANGELA WIVODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRTS
Contact information
Practice address
302 EAST HOWARD STREET, SUITE 310, HIBBING, MN 55746
(218) 208-2578
Mailing address
302 E HOWARD ST, SUITE 310, HIBBING, MN 55746-1772
(218) 208-2578
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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