Individual
JAIMIE MARIE GOYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2650 RICE ST, LITTLE CANADA, MN 55113-2201
(651) 484-0504
Mailing address
2915 31ST AVE NE, ST ANTHONY, MN 55418-2454
(612) 481-3548
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5220
MN
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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