Individual
JESSICA PERRAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92294 W FRONTAGE RD, STURGEON LAKE, MN 55783-3876
(218) 216-5432
Mailing address
92294 W FRONTAGE RD, STURGEON LAKE, MN 55783-3876
(218) 216-5432
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
10767524
MN
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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