Individual
MARLAINE GRACE MAAHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NTP
Contact information
Practice address
2400 REIDMOND LN, SAINT PAUL, MN 55117-1647
(651) 491-3488
Mailing address
2400 REIDMOND LN, SAINT PAUL, MN 55117-1647
(651) 491-3488
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
002016
MN
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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