Individual
NICHOLE MARIE HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1470 INDUSTRIAL DR NW, ROCHESTER, MN 55901-0700
(507) 332-7751
Mailing address
623 9TH AVE SW, FARIBAULT, MN 55021
(507) 491-6295
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MN
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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