Individual
MARIBETH HONOMICHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
2104 NORTHDALE BLVD NW, 100, COON RAPIDS, MN 55433-3028
(763) 767-7107
Mailing address
2104 NORTHDALE BLVD NW, 100, COON RAPIDS, MN 55433-3028
(763) 767-7107
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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