Individual
ALYSSA KOTULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-4291
(218) 259-4621
Mailing address
1200 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-4291
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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