Tiffany Lea Jenniges

NPI #1013639269 in Alexandria, Minnesota

Provider Information

NPI Number
1013639269
Entity Type
Individual
Name
Tiffany Lea Jenniges
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Sep 14, 2022
Last Updated
Sep 14, 2022

Practice Location

Address
700 CEDAR ST STE 46
ZIP Code
56308-1787
Phone
(612) 770-8803

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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