Individual
DR. JENNIFER ELAINE ELIJAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7415 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1607
(330) 821-0052
Mailing address
6109 EHLER AVE SE, DELANO, MN 55328-8104
(763) 242-3143
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
5524
OH
Other
Enumeration date
02/20/2007
Last updated
02/08/2022
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