Individual
BRENDA SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3027 14TH AVE S, MINNEAPOLIS, MN 55407-1701
(612) 384-5483
Mailing address
PO BOX 7675, MINNEAPOLIS, MN 55407-0675
(612) 384-5483
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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