Individual
MARTINE GNEME ZOUMANIGUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21343 ARCHIBALD ROAD, DEERWOOD, MN 56444
(218) 534-3141
Mailing address
400 3RD ST S, APT 120, SARTELL, MN 56377-4749
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT21
MN
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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