Individual
AMANDA MARIE SONNICHSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
731 BIELENBERG DR STE 102-104, WOODBURY, MN 55125-1700
(651) 528-0373
Mailing address
7449 99TH ST S, COTTAGE GROVE, MN 55016-4453
(651) 528-0373
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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