Individual
MICHELLE LEA MCMAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 2ND AVE NW, PLAINVIEW, MN 55964-1222
(507) 951-3830
Mailing address
9128 20TH ST SE, EYOTA, MN 55934-2815
(507) 254-4690
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R116193-5
MN
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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