Individual
JEAN HENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
246 MAIN ST S, HUTCHINSON, MN 55350-2587
(320) 587-5162
Mailing address
246 MAIN ST S, HUTCHINSON, MN 55350-2587
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
76501-5
MN
Other
Enumeration date
05/04/2014
Last updated
05/04/2014
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