Jennie Deziel

NPI 1851687271 · on the registry since 2011 · sole proprietor

Practice

Address: 1750 Robert St S
T-2046
West St Paul, MN 55118
Phone: (651) 455-6626
Fax: (651) 455-1903
Organisation at this address: Fourone2020 Pllc
Radiant Isight Llc
Tyler Baars, O.D., P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-06-23

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