Individual
EMEY HELEN VAILLANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6055 NATHAN LN N # 200A, PLYMOUTH, MN 55442-1674
(763) 513-4300
Mailing address
1940 FULHAM ST APT 103, ROSEVILLE, MN 55113-5120
(612) 240-8203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1295377
MN
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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