Individual
BARBARA JO JANUARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3754 VALLEY VIEW DR NW, ANDOVER, MN 55304-1845
(763) 753-4582
Mailing address
3754 VALLEY VIEW DR NW, ANDOVER, MN 55304-1845
(763) 753-4582
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R099675-8
MN
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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