JAN MARIE NICODEMUS

ZIMMERMAN, MN
NPI1659886448
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
(Licence: MN  10704477)
Enumeration Date2017-12-04
Last Update Date2024-07-21
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
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