Individual
JENNY MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1170 15TH AVE SE, MINNEAPOLIS, MN 55414-2589
(612) 379-1063
Mailing address
1170 15TH AVE SE, MINNEAPOLIS, MN 55414-2589
(612) 379-1063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
243939-4
MN
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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