Angela Wivoda, CRTS

NPI #1467870485 in Hibbing, Minnesota

Provider Information

NPI Number: 1467870485
Entity Type: Individual
Name: Angela Wivoda, CRTS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chore Provider
Credential: CRTS
Enumeration Date: Apr 7, 2014
Last Updated: Apr 7, 2014

Practice Location

Address: 302 EAST HOWARD STREET
Address 2: SUITE 310
City: Hibbing
State: Minnesota
ZIP Code: 55746
Phone: (218) 208-2578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor - Home Modifications — Home Modifications	171WH0202X
Chore Provider	372500000X	Primary

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