Individual
JANE DECAROLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
9376 BIRCH LN, LAKEVILLE, MN 55044-8157
(952) 484-7139
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
R97742-1
MN
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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