Individual
ANN FILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 1ST ST N, COLD SPRING, MN 56320-1446
(320) 685-4110
Mailing address
PO BOX 86, ROCKVILLE, MN 56369-0086
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L23102-8
MN
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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