Heather Marie Fosness PTA

NPI 1376884189 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1376884189
Gender Female
Enumeration Date 03/05/2013
Last Updated 03/05/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
2450 RIVERSIDE AVE
MINNEAPOLIS MN, 55454-1450, US
Phone (612) 273-3000
Fax
Business Location
2450 RIVERSIDE AVE
MINNEAPOLIS MN, 55454-1450, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Heather Marie Fosness PTA NPI is 1376884189, taxonomy code is 390200000X Heather Marie Fosness PTA physically located at 2450 Riverside Ave, Minneapolis MN, 55454-1450. NPI Number Heather Marie Fosness PTA has the Individual type.

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1376884189 NPI number is provided on an as is basis without warranty of any kind. 1376884189 is maintained by the National Plan & Provider Enumeration System. The contents of Heather Marie Fosness PTA are for informational purposes only.