| Jtp Professional Service Corporation | |
|
2038 Ford Pkwy # 444 Saint Paul MN 55116-1931 | |
| (612) 500-3177 | |
| Not Available |
| Full Name | Jtp Professional Service Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 2038 Ford Pkwy # 444, Saint Paul, Minnesota |
| Authorized Official Name and Position | Brooke Bailey (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6125003177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jtp Professional Service Corporation 2038 Ford Pkwy # 444 Saint Paul MN 55116-1931 Ph: () - | Jtp Professional Service Corporation 2038 Ford Pkwy # 444 Saint Paul MN 55116-1931 Ph: (612) 500-3177 |
| NPI Number | 1992320014 |
|---|---|
| Provider Enumeration Date | 06/15/2020 |
| Last Update Date | 06/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992320014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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