Individual
DEVLIN STITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12259 JEFFERSON ST NE, BLAINE, MN 55434-2002
(612) 870-3787
(612) 870-3798
Mailing address
12259 JEFFERSON ST NE, BLAINE, MN 55434-2002
(612) 870-3787
(612) 870-3798
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L034293-3
MN
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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