Individual
AMY MATTILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BROADWAY ST, #202, SAINT PAUL, MN 55101-1440
(612) 788-4304
Mailing address
300 BROADWAY ST, #202, SAINT PAUL, MN 55101-1440
(612) 788-4304
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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