Individual
JANA WEISMEYER TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2945 LINCOLN DR, ROSEVILLE, MN 55113-1338
(651) 628-3000
Mailing address
525 FAIRVIEW AVE S, SAINT PAUL, MN 55116-1458
(651) 695-5000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9069
MN
Other
Enumeration date
11/03/2022
Last updated
11/13/2022
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