Dalle Poulos, Gloria Jean

Dalle Poulos, Gloria Jean is an individual health care provider with primary practice located at 6401 University Ave Ne , Fridley MN 55432-4341. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Dalle Poulos, Gloria Jean can be contacted via phone (507) 330-0468.

Contact Information

Primary practice address
6401 University Ave Ne Fridley MN 55432-4341
Phone: (507) 330-0468
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1902430960
LBN Legal business name Dalle Poulos, Gloria Jean
Credentials NBC-HWC, FMCHC, CHES
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2020
Last updated Jan 4th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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