Laura Jarvis PA-C

NPI 1053390815 - Physician Assistant - 363A00000X

NPI Details
NPI 1053390815
Gender Female
Enumeration Date 01/11/2006
Last Updated 06/10/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1020 BANDANA BLVD W
SAINT PAUL MN, 55108-5107, US
Phone (651) 336-1391
Fax
Business Location
13902 FERNWOOD LN
APPLE VALLEY MN, 55124-5041, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Minnesota
License Number 9791
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According to our database, Laura Jarvis PA-C NPI is 1053390815, taxonomy code is 363A00000X and license number is 9791, license state is located at Minnesota. Laura Jarvis PA-C physically located at 1020 Bandana Blvd W, Saint Paul MN, 55108-5107. NPI Number Laura Jarvis PA-C has the Individual type.

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1053390815 NPI number is provided on an as is basis without warranty of any kind. 1053390815 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Jarvis PA-C are for informational purposes only.