Individual
JUDITH AKWELEY BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8270 JODY LN S, COTTAGE GROVE, MN 55016-4935
(651) 815-0105
Mailing address
8270 JODY LN S, COTTAGE GROVE, MN 55016-4935
(651) 815-0105
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
2280255
MN
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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