Individual
MRS. ELLEN JILL PETRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
401 DEWEY ST, FOLEY, MN 56329-8406
(320) 968-7413
Mailing address
PO BOX 570, 401 DEWEY STREET, FOLEY, MN 56329-0570
(320) 968-7413
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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