Individual
BRYLEE LAITALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3517 E BELTLINE, HIBBING, MN 55746-2337
(218) 262-6140
Mailing address
22 6TH ST, NASHWAUK, MN 55769-1162
(218) 966-8911
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125374
MN
Other
Enumeration date
08/07/2023
Last updated
12/06/2024
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