Individual
ANNIE ELIZABETH HINNENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1690 PINEWOOD DR, SHOREVIEW, MN 55126-4941
(651) 788-0087
Mailing address
1690 PINEWOOD DR, SHOREVIEW, MN 55126-4941
(651) 788-0087
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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