Individual
JOANNE WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 PARK AVE, NAS O 1, MINNEAPOLIS, MN 55415-1623
(612) 873-6455
Mailing address
611 OTTAWA AVE, APT 2, SAINT PAUL, MN 55107-2552
(651) 964-5071
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
19613710
MN
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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