Individual
MRS. JACQUELINE FAYE ROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6363 FRANCE AVE S STE 400, EDINA, MN 55435-2130
(952) 920-2070
Mailing address
6363 FRANCE AVE S STE 400, EDINA, MN 55435-2130
(952) 920-2070
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2315
MN
363A00000X
Physician Assistant
Primary
13705
MN
Other
Enumeration date
05/22/2014
Last updated
05/21/2021
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