Individual
MRS. MAYSHONG JALAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
713 E MINNEHAHA AVE, SUITE 218, ST PAUL, MN 55106-4441
(651) 644-5355
(651) 644-1625
Mailing address
713 E MINNEHAHA AVE, SUITE 218, ST PLAUL, MN 55106-4441
(651) 644-5355
(651) 644-1625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R129812-5
MN
163WH0200X
Home Health Registered Nurse
R129812-5
MN
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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