Individual
STEPHANIE ITZEL BARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
636 BROADWAY ST NE, MINNEAPOLIS, MN 55413-2151
(612) 746-1530
Mailing address
3057 211TH ST W, FARMINGTON, MN 55024-8515
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H12091
MN
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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