Individual
JA'SHAWNA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11641 283RD AVE NW, ZIMMERMAN, MN 55398-9504
(763) 221-8614
Mailing address
11641 283RD AVE NW, ZIMMERMAN, MN 55398-9504
(763) 221-8614
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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