Individual
JESSICA ELIZABETH FAIRCLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
246 8TH ST NE, PLAINVIEW, MN 55964-1624
(507) 319-4534
Mailing address
246 8TH ST NE, PLAINVIEW, MN 55964-1624
(507) 319-4534
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
09/08/2023
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