Jtp Professional Service Corporation
NPI #1992320014 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1992320014
- Entity Type
- Organization
- Organization Name
- Jtp Professional Service Corporation
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 15, 2020
- Last Updated
- Jun 15, 2020
Practice Location
- Address
- 2038 FORD PKWY # 444
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55116-1931
- Phone
- (612) 500-3177
Authorized Official
- Name
- BROOKE BAILEY
- Title
- EXECUTIVE DIRECTOR
- Phone
- (612) 500-3177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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