Individual
BERNICE KAE RONNINGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1158 ISLAND BLVD, WELCH, MN 55089-9540
(651) 385-4148
(651) 385-4170
Mailing address
1158 ISLAND BLVD, WELCH, MN 55089-9540
(651) 385-4148
(651) 385-4170
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L38255-3
MN
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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