Individual
DR. JENNIFER MARIE VINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
657 ATLANTIC AVE, HANCOCK, MN 56244-2104
(320) 349-1650
Mailing address
39041 COUNTY ROAD 2, HANCOCK, MN 56244-1215
(320) 349-1650
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6721
MN
111N00000X
Chiropractor
CHI-CHI-LIC-4515
MT
111NP0017X
Pediatric Chiropractor
4515
MT
111NP0017X
Pediatric Chiropractor
Primary
6721
MN
Other
Enumeration date
12/28/2016
Last updated
11/23/2021
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