Individual
JENNIFER LEE BOTELHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3900 BETHEL DR, SAINT PAUL, MN 55112-6902
(651) 638-6400
Mailing address
3900 BETHEL DR, SAINT PAUL, MN 55112-6902
(651) 638-6400
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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