Individual
JESSICA FRANCES PENDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 WAYZATA BLVD, MINNEAPOLIS, MN 55426-1626
(612) 223-8898
Mailing address
7601 WAYZATA BLVD, MINNEAPOLIS, MN 55426-1626
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
306217
MN
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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