Individual provider · Type 1 NPI

Jacqueline Vlietstra

Specialist · St. Paul, MN

NPI number 1275905366 Active

Practice location

2265 Como Ave
St. Paul, MN 55108-1737

Call (651) 379-6100 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X58551 (MN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

120 other providers at this address

Other specialist providers in St. Paul

See all in St. Paul →

About NPI 1275905366

Jacqueline Vlietstra's National Provider Identifier is 1275905366, issued on Oct 28, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Paul, MN. The record was last updated on Oct 28, 2015.