Individual
JENESIS HOPE FONDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
1213 E FRANKLIN AVE, MINNEAPOLIS, MN 55404-2923
(612) 205-4323
Mailing address
4112 SNELLING AVE, MINNEAPOLIS, MN 55406-3342
(612) 240-3744
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MN
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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