Individual
DR. JASMINE SABA FOLGER LATTERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
615 NELSON DR, CLEARWATER, MN 55320
(320) 558-2293
Mailing address
615 NELSON DR, CLEARWATER, MN 55320
(320) 558-2293
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20304
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942457098
—
MN
Enumeration date
08/20/2008
Last updated
10/26/2012
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