Individual
JASMIRA COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 W BROADWAY AVE STE 110, MINNEAPOLIS, MN 55411-2531
(612) 249-6878
Mailing address
2211 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1350
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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