Individual
ANTIONETTE RENEE ESTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 602-7500
Mailing address
380 E LAFAYETTE FRONTAGE RD STE 200, SAINT PAUL, MN 55107-1216
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
407
MN
Other
Enumeration date
08/13/2019
Last updated
01/24/2020
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