Individual
JAIME MARIE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4570 VICTORIA ST N, SHOREVIEW, MN 55126-5800
(651) 621-6000
(651) 621-6046
Mailing address
1780 COUNTY HIGHWAY 10, SPRING LAKE PARK, MN 55432-2268
(763) 516-4297
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2529677
MN
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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