Trista Lee-Irey Henrickson

NPI #1427355783 in Roseville, Minnesota

Provider Information

NPI Number
1427355783
Entity Type
Individual
Name
Trista Lee-Irey Henrickson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Feb 23, 2011
Last Updated
Feb 23, 2011

Practice Location

Address
2800 CLEVELAND AVE N
ZIP Code
55113-1126
Phone
(651) 642-1825

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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