JELENA A LICINA

MAPLEWOOD, MN
NPI1316921687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MN  73953)
Additional Taxonomies207R00000X Internal Medicine
(Licence: FL  ME 88772)
207R00000X Internal Medicine
(Licence: CO  50835)
Enumeration Date2005-12-01
Last Update Date2024-05-15
Business Address
Dr. JELENA A LICINA MD
1575 BEAM AVE
MAPLEWOOD, MN 55109-1126
Phone number: 651-232-2000
Mailing Address
Dr. JELENA A LICINA MD
1700 UNIVERSITY AVE W
SAINT PAUL, MN 55104-3727
Phone number: 651-232-1123