Individual
MRS. JESSICA ROSE MALTERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, PHN, RN
Contact information
Practice address
416-2ND STREET NW, CASS LAKE, MN 56633
(218) 335-8868
Mailing address
30502 360TH ST, LAPORTE, MN 56461-4043
(218) 760-5866
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2088651
MN
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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