Individual
LAURA JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1020 BANDANA BLVD W, SAINT PAUL, MN 55108-5107
(651) 336-1391
Mailing address
13902 FERNWOOD LN, APPLE VALLEY, MN 55124-5041
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9791
MN
Other
Enumeration date
01/11/2006
Last updated
03/11/2021
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