Individual
KATHERINE LOUISE IMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
255 SMITH AVE N, SAINT PAUL, MN 55102-2572
(651) 241-2595
Mailing address
5911 SAINT ALBANS ST N, SHOREVIEW, MN 55126-4630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 138891-2
MN
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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