Individual
MS. JODI LARAE TENNESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
106 NORTH 4TH AVENUE, FERGUS FALLS, MN 56537
(218) 998-3778
(218) 998-3187
Mailing address
1608 CO HWY 111, LOT #10, FERGUS FALLS, MN 56537
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0465768
MN
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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