Individual
BROOKE ANN MOTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
907 WOODHILL CT, HOPKINS, MN 55343-8922
(612) 655-8479
Mailing address
907 WOODHILL CT, HOPKINS, MN 55343-8922
(612) 655-8479
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0712547
MN
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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