Individual
LEAH DAWN BERTHIAUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2817 ANTHONY LANE S, STE 311, ST ANTHONY, MN 55418
(612) 789-0049
(651) 234-0864
Mailing address
2817 ANTHONY LANE S, STE 311, ST ANTHONY, MN 55418
(612) 789-0049
(651) 234-0864
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R186580-4
MN
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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