Individual
JENNIFER LYNN CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2307 EAST GOLF COURSE RD, ALEXANDRIA, MN 56308
(320) 305-9143
(320) 762-2158
Mailing address
407 OAK ST, ALEXANDRIA, MN 56308
(320) 305-9143
(320) 762-2158
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
4746058
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4746058
—
MN
Enumeration date
11/22/2016
Last updated
11/28/2016
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