SearchMinnesota253J00000X

Jared O'Malley, OWNER

NPI 1649985490 · on the registry since 2023 · sole proprietor

Practice

Address
3019 18th St S
Saint Cloud, MN 56301
Phone
(320) 429-2307

Registry record

Primary taxonomy
253J00000X
253J00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota