Individual
JESSICA MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
826 41ST AVE NW, ROCHESTER, MN 55901-6650
(507) 273-9829
Mailing address
826 41ST AVE NW, ROCHESTER, MN 55901-6650
(507) 273-9829
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1109178
MN
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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