MS. Angelina P Ivanishin

NPI #1861735417 in Saint Francis, Minnesota

Provider Information

NPI Number: 1861735417
Entity Type: Individual
Name: MS. Angelina P Ivanishin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 2, 2013
Last Updated: Apr 2, 2013

Practice Location

Address: 23328 ARROWHEAD ST NW
City: Saint Francis
State: Minnesota
ZIP Code: 55070-9587
Phone: (763) 843-4482

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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