Individual
DEBRA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3724 3RD PL NW, ROCHESTER, MN 55901-8442
(507) 287-6941
Mailing address
3724 3RD PL NW, ROCHESTER, MN 55901-8442
(507) 287-6941
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
M263675300
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M263675300
UMPI
MN
Enumeration date
12/30/2015
Last updated
12/30/2015
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