Individual
DEVRA ANN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 NORTH MAIN STREET, MAHNOMEN, MN 56557
(218) 936-6336
(218) 936-6337
Mailing address
102 NORTH MAIN STREET, MAHNOMEN, MN 56557
(218) 936-6336
(218) 936-6337
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R954392
MN
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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