Individual
AMELIA HENTGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7 MAGNUS JOHNSON STREET SOUTH, KIMBALL, MN 55353
(320) 237-7498
Mailing address
PO BOX 34, 7 MAGNUS JOHNSON ST, KIMBALL, MN 55353-0034
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L72444-1
MN
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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