Individual
JEWRI MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13605 TERRITORIAL CIR N, MAPLE GROVE, MN 55369-4303
(763) 222-6504
Mailing address
13605 TERRITORIAL CIR N, MAPLE GROVE, MN 55369-4303
(763) 222-6504
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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