Individual
ROLLA CRANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TM
Contact information
Practice address
7033 IDAHO AVE N, BROOKLYN PARK, MN 55428-1781
(612) 735-0396
Mailing address
7033 IDAHO AVE N, BROOKLYN PARK, MN 55428-1781
(612) 735-0396
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
—
—
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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