Individual
WANDA LATRICE WILLIAMS BAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4810 HUMBOLDT AVE N, MINNEAPOLIS, MN 55430-3743
(763) 381-2078
Mailing address
PO BOX 22584, ROBBINSDALE, MN 55422-0584
(763) 381-2078
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
MN
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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