Individual
STEPHANIE JUSCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3950 NORTH RD, MOOSE LAKE, MN 55767-8152
(218) 565-2191
Mailing address
3950 NORTH RD, MOOSE LAKE, MN 55767-8152
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
215533-5
MN
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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