Individual
JODI LYNN HALLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2835 S SERVICE DR, RED WING, MN 55066-1882
(651) 388-1515
(651) 388-5912
Mailing address
605 HILLCREST AVE STE 130, OWATONNA, MN 55060-3680
(507) 451-0290
(507) 451-0291
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L058700-2
MN
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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