Individual
ALMA JENNIFER GODINEZ MODESTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1639 SHERIDAN AVE N, MINNEAPOLIS, MN 55411-2949
(612) 940-3010
Mailing address
1639 SHERIDAN AVE N, MINNEAPOLIS, MN 55411-2949
(612) 940-3010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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