Individual
MRS. ANGELA VETTRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
210 WOODLAKE DR SE STE B, ROCHESTER, MN 55904-4514
(763) 784-7993
Mailing address
1504 25TH AVE NW, FARIBAULT, MN 55021-3415
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5993
MN
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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