Individual
DALE STANLEY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1135 CUMBERLAND ST, SAINT PAUL, MN 55117-4850
(651) 487-3020
Mailing address
1135 CUMBERLAND ST, SAINT PAUL, MN 55117-4850
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R 114263-7
MN
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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