JERIS JEAN VAIDA

VIRGINIA, MN
NPI1336658533
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  304245)
Enumeration Date2017-09-20
Last Update Date2022-07-21
Business Address
Miss JERIS JEAN VAIDA
505 S 12TH AVE W
VIRGINIA, MN 55792-3099
Phone number: 218-749-2877
Mailing Address
Miss JERIS JEAN VAIDA
505 S 12TH AVE W
VIRGINIA, MN 55792-3099
Phone number: 218-749-2877