JACQUALINE KAY GERVAIS

MOORHEAD, MN
NPI1336481803
Former NameJACQUALINE BLEESS TOPPEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ND  R32567)
Enumeration Date2013-03-22
Last Update Date2021-08-23
Business Address
Ms. JACQUALINE KAY GERVAIS PMHNP
819 30TH AVE S STE 206
MOORHEAD, MN 56560-5054
Phone number: 218-477-1353
Mailing Address
Ms. JACQUALINE KAY GERVAIS PMHNP
819. 30 AVE S OFFICE 206
MOORHEAD, MN 56560
Phone number: 218-233-2288