SearchMinnesota311ZA0620X

Amanda Moen

NPI 1437700499 · on the registry since 2019 · sole proprietor

Practice

Address
700 105th St Nw
Rice, MN 56367
Phone
(320) 980-2630

Registry record

Primary taxonomy
311ZA0620X
311ZA0620X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-09-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota