Individual
JEANNE RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
927 TRETTEL LANE, FOND DU LAC HUMAN SERVICES DIVISION, CLOQUET, MN 55720
(218) 879-1227
(218) 878-3755
Mailing address
927 TRETTEL LANE, FOND DU LAC HUMAN SERVICES DIVISION, CLOQUET, MN 55720
(218) 879-1227
(218) 878-3755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2829
MN
152WC0802X
Corneal and Contact Management Optometrist
2829
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2819571-00
—
MN
Enumeration date
07/17/2008
Last updated
12/09/2010
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