Individual
MRS. JESSICA MARON LING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
21782 MAJESTIC DR, CLEARWATER, MN 55320-4556
(320) 761-9350
(320) 251-4763
Mailing address
21782 MAJESTIC DR, CLEARWATER, MN 55320-4556
(320) 761-9350
(320) 251-4763
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4581
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314L3LI
BCBS
MN
05
—
981501500
—
MN
Enumeration date
07/07/2005
Last updated
07/12/2023
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