Individual
JEFF ALLEN HOMICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 WYANDOTTE RD, HOYT LAKES, MN 55750-1224
(218) 994-2252
Mailing address
112 WYANDOTTE RD, HOYT LAKES, MN 55750-1224
(218) 994-2252
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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