JAN MARIE NICODEMUS

ZIMMERMAN, MN
NPI1659886448
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
(Licence: MN  383563)
Additional Taxonomies253Z00000X In Home Supportive Care
(Licence: MN  383563)
374U00000X Home Health Aide
(Licence: MN  383563)
163WH0200X Registered Nurse, Home Health
(Licence: MN  383563)
251B00000X Case Management
(Licence: WY  15416)
Enumeration Date2017-12-04
Last Update Date2024-02-27
Business Address
JAN MARIE NICODEMUS
12950 FREMONT AVE STE 102
ZIMMERMAN, MN 55398-4629
Phone number: 763-294-0714
Mailing Address
JAN MARIE NICODEMUS
12950 FREMONT AVE STE 102
ZIMMERMAN, MN 55398-4629
Phone number: 763-294-0714