Search › Minnesota › 343900000X
Etta Riley, CEO/OWNER
NPI 1912546938 · on the registry since 2019 · sole proprietor
Practice
- Address
- 3622 Penn Ave N
Minneapolis, MN 55412 - Phone
- (612) 522-3370
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-23
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