Organization
THOMAS RUSSELL BRAATEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS RUSSELL BRAATEN (MANAGER)
(763) 780-3843
Entity
Organization
Contact information
Practice address
22020 UNIVERSITY AVE, CEDAR, MN 55011
(763) 780-3843
Mailing address
8840 POLK ST NE, BLAINE, MN 55434
(763) 780-3843
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
468726286
MN
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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