Individual
LINDA MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1148 GRAND AVE, ST. PAUL, MN 55105
(651) 690-5352
Mailing address
893 CURRY TRAIL, EAGAN, MN 55123
(612) 600-4644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0661216
MN
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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