Individual
JESSICA CREASY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1068 LAKE ST S STE 108, FOREST LAKE, MN 55025-2633
(651) 464-8486
Mailing address
1068 LAKE ST S STE 108, FOREST LAKE, MN 55025-2633
(651) 464-8486
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2921
MN
Other
Enumeration date
12/06/2023
Last updated
08/08/2024
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