Individual
MRS. JESSICA JAN SHONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68541 275TH AVE, LAKE CITY, MN 55041-4856
(651) 764-1315
(651) 267-0023
Mailing address
68541 275TH AVE, LAKE CITY, MN 55041-4856
(651) 764-1315
(651) 267-0023
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7591
MN
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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