Individual
JAELA R OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
11254 86TH AVE N, MAPLE GROVE, MN 55369-4510
(763) 494-8787
Mailing address
11254 86TH AVE N, MAPLE GROVE, MN 55369-4510
(612) 816-7130
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7432
MN
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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