Individual
MRS. JENNA LITE KAMPHENKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24336 726TH AVE, DASSEL, MN 55325-3567
(320) 309-4617
Mailing address
24336 726TH AVE, DASSEL, MN 55325-3567
(320) 309-4617
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-188984-8
MN
Other
Enumeration date
02/10/2011
Last updated
02/10/2011
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