Individual
MS. MALIA TRIEBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3931 LOUISIANA AVE S STE E111, ST LOUIS PARK, MN 55426-5000
(715) 338-0031
Mailing address
4128 AUSTIN ST NE, CIRCLE PINES, MN 55014-2403
(715) 338-0031
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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