Individual
RITAJO ELLENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 OAK STREET NORTH, ALEXANDRIA, MN 56308
(320) 808-8054
Mailing address
PO BOX 186, ALEXANDRIA, MN 56308-0186
(320) 808-8054
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
43283
MN
251G00000X
Community Based Hospice Care Agency
43283
MN
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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