Individual
KATHRYN FRICKSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 QUANTICO LN N, PLYMOUTH, MN 55447-3933
(612) 369-8224
Mailing address
530 QUANTICO LN N, PLYMOUTH, MN 55447-3933
(612) 369-8224
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1084502
MN
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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