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Individual

ELLIANA L CARRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6113 ROME CIR NW, ROCHESTER, MN 55901-4846
(612) 210-8703
Mailing address
6113 ROME CIR NW, ROCHESTER, MN 55901-4846

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/22/2024
Last updated
08/22/2024
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