Individual
JENNIFER A BRATVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2855 CAMPUS DR, PLYMOUTH, MN 55441-2649
(763) 577-7007
(763) 577-7196
Mailing address
2855 CAMPUS DR, PLYMOUTH, MN 55441-2649
(763) 577-7007
(763) 577-7196
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116421
MN
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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