Individual
JENNIFER MYAENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 594-4700
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DOS1667
HI
208D00000X
General Practice Physician
DOS1667
HI
Other
Enumeration date
06/09/2013
Last updated
09/06/2024
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