Individual
JAMIE LYNN FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 MEADOWLANDS DR STE 1&2, WHITE BEAR LAKE, MN 55127-2339
(507) 322-7752
Mailing address
4102 BUNKER LAKE BLVD NE, HAM LAKE, MN 55304-7328
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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