Individual
MITZI JAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 AVENUE J, COUNCIL BLUFFS, IA 51501-1170
(712) 435-5350
Mailing address
1515 AVENUE J, COUNCIL BLUFFS, IA 51501-1170
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
63298
NE
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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