Individual
JEREMY HOLLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8200 190TH ST W, LAKEVILLE, MN 55044-7858
(952) 210-4881
Mailing address
8200 190TH ST W, LAKEVILLE, MN 55044-7858
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
QB691092
MN
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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