Individual
FELICIA POUYONOH CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
106 4TH AVE. N., FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-3187
Mailing address
1508 HWY 1 NE, APT. 101, THIEF RIVER FALLS, MN 56701
(218) 683-5147
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L67265-8
MN
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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