Individual
NICOLE ANNE HUMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1313 FAIRGROUNDS RD, TWO HARBORS, MN 55616-4600
(218) 206-4327
Mailing address
1616 N ARLINGTON AVE, DULUTH, MN 55811-4647
(218) 213-5067
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H9906
MN
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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