Individual
JANNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1422 FOREST LN, FARIBAULT, MN 55021-9200
(507) 838-7320
Mailing address
1422 FOREST LN, FARIBAULT, MN 55021-9200
(507) 838-7320
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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