Individual
JENNIFER VILLENEUVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6803 CHANNEL RD NE, FRIDLEY, MN 55432-4619
(651) 208-5161
Mailing address
6803 CHANNEL RD NE, FRIDLEY, MN 55432-4619
(651) 208-5161
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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