person
Jodi Ranae Rother, HIS
Specialist in Lakeville, Minnesota
NPI 1902171606

Jodi Ranae Rother is a Specialist based in Lakeville, MN. Jodi Ranae Rother practices in Lakeville, MN and has the professional credentials of HIS. The NPI Number for Jodi Ranae Rother is 1902171606 and holds a License No. 2480 (Minnesota).

The current practice location address for Jodi Ranae Rother is 17316 Kenyon Ave, Lakeville, MN and can be reached out via phone at 952-255-8579 and via fax at 952-255-8578.

Location: 17316 Kenyon Ave, Lakeville, MN, 55044-6909
person
Provider Profile Details
NPI Number
1902171606
Provider Name
Jodi Ranae Rother
Credential
HIS
Provider Entity Type
Individual
Gender
Female
Address
17316 Kenyon Ave, Lakeville, MN, 55044-6909
Phone Number
952-255-8579
Fax Number
952-255-8578
Provider Enumeration Date
03/13/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2480 01 MN MN DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
17316 Kenyon Ave
City
State
Zip
55044-6909
Phone Number
952-255-8579
Fax Number
952-255-8578
person
Provider Business Mailing Address Details
Address
17316 Kenyon Ave
City
State
Zip
55044-6909
Phone Number
952-255-8579
Fax Number
952-255-8578
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
2480 (Minnesota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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