Individual
SARA CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
722 NW 7TH ST, BRAINERD, MN 56401-2912
(218) 855-1115
Mailing address
30181 273RD ST, PIERZ, MN 56364-2012
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
636652
MN
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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