Individual
ALLEGRA JEWEL SCIACCOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 13TH AVE NE, MINNEAPOLIS, MN 55413-1003
(630) 991-7638
Mailing address
113 13TH AVE NE, MINNEAPOLIS, MN 55413-1003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MN
Other
Enumeration date
05/30/2026
Last updated
05/30/2026
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