Individual
THERESA ULVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5474 MOUNTAIN IRON DR, VIRGINIA, MN 55792-3371
(218) 741-2421
(218) 741-5658
Mailing address
5474 MOUNTAIN IRON DR, VIRGINIA, MN 55792-3371
(218) 741-2421
(218) 741-5658
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122417
MN
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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