Individual
MISS HAILEY ROSE EBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 IRVING ST, ALEXANDRIA, MN 56308-2559
(320) 290-5891
Mailing address
1015 IRVING ST, ALEXANDRIA, MN 56308-2559
(320) 290-5891
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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