Individual
AUNICA ISANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
711 DELMORE DR., ROSEAU, MN 56751
(218) 463-1365
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-6468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13783
MN
Other
Enumeration date
05/25/2021
Last updated
12/14/2021
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