Individual
RAYNEISHA VARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1081 JENKS AVE, SAINT PAUL, MN 55106-3309
(651) 747-7061
Mailing address
1081 JENKS AVE, SAINT PAUL, MN 55106-3309
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
812214
MN
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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