Individual
JATAUN AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4555 DUPONT AVE N, MINNEAPOLIS, MN 55412-1327
(763) 537-3525
Mailing address
4555 DUPONT AVE N, MINNEAPOLIS, MN 55412-1327
(763) 537-3525
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
PCA82477420200219
MN
385H00000X
Respite Care
—
—
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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