Jennie Deziel

NPI #1851687271 in West St Paul, Minnesota

Provider Information

NPI Number
1851687271
Entity Type
Individual
Name
Jennie Deziel
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Jun 23, 2011
Last Updated
Jun 23, 2011

Practice Location

Address
1750 ROBERT ST S
Address 2
T-2046
ZIP Code
55118-3919
Phone
(651) 455-6626

Specialties & Taxonomy Codes

Specialty
Pharmacist

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