Individual
ELLA BRYNNE BLOMKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 COMMERCE DR, WOODBURY, MN 55125-9118
(651) 424-4000
Mailing address
2200 WHITE PINE RD, HUDSON, WI 54016-2184
(715) 410-8804
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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