Individual
THERESE HINNENKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 GRIMSRUD DR APT 309, BISMARCK, ND 58501-8127
(651) 308-1054
Mailing address
2112 GRIMSRUD DR APT 309, BISMARCK, ND 58501-8127
(651) 308-1054
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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