Individual
HEATHER DEJARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5640 MEMORIAL AVE N, SUITE B, STILLWATER, MN 55082-2166
(651) 430-1880
Mailing address
11133 SWEETWATER PATH, WOODBURY, MN 55129-5293
(651) 895-0055
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
12608
MN
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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