Individual
MICHAEL OCCHINO JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, PHN
Contact information
Practice address
3209 BLAISDELL AVE, MINNEAPOLIS, MN 55408-4420
(612) 598-8928
Mailing address
3209 BLAISDELL AVE, MINNEAPOLIS, MN 55408-4420
(612) 598-8928
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
2459561
MN
Other
Enumeration date
09/17/2018
Last updated
09/18/2018
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