Individual
MRS. CHRISTINE ELAINE SMALLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6317 ESTATE CIRCLE DRIVE, BRAINERD, MN 56401
(218) 251-0262
Mailing address
6317 ESTATE CIRCLE DRIVE, BRAINERD, MN 56401
(218) 251-0262
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
069389-9
MN
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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