Individual
JENNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
573 36TH AVE NW, ROCHESTER, MN 55901-7583
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
115213
MN
Other
Enumeration date
03/20/2017
Last updated
01/27/2021
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