Individual
SOPHIA TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 679-1212
(320) 674-9060
Mailing address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 679-1212
(320) 674-9060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14033
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/17/2020
Last updated
09/19/2022
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