Individual
BRANDY KROUBETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
190 SAILSTAR DR NW, CASS LAKE, MN 56633-3565
(218) 368-7461
Mailing address
PO BOX 513, BLACKDUCK, MN 56630
(218) 368-7461
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-228313-9
MN
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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