Individual
EDNA CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
76209 325TH ST, ELLENDALE, MN 56026-4248
(507) 402-3898
Mailing address
76209 325TH ST, ELLENDALE, MN 56026-4248
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
MN
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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