Individual
MISS STEPHANIE APRIL MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
550 VANDALIA ST STE 175, SAINT PAUL, MN 55114-2019
(651) 313-6733
Mailing address
793 OAK RIDGE PT NE, BLAINE, MN 55434-3066
(612) 532-6672
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
736404
MN
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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