Provider Demographics
NPI:1952426397
Name:RAJKOWSKI, MARY JANINE (RN BSN NATIONALLY CE)
Entity Type:Individual
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First Name:MARY JANINE
Middle Name:
Last Name:RAJKOWSKI
Suffix:
Gender:F
Credentials:RN BSN NATIONALLY CE
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Mailing Address - Street 1:238 WENTWORTH AVE E
Mailing Address - Street 2:GLADSTONE PARK MEDICAL BLDG
Mailing Address - City:WEST ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55118-3525
Mailing Address - Country:US
Mailing Address - Phone:651-455-0473
Mailing Address - Fax:651-455-2355
Practice Address - Street 1:238 WENTWORTH AVE E
Practice Address - Street 2:GLADSTONE PARK MEDICAL BLDG
Practice Address - City:WEST ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118-3525
Practice Address - Country:US
Practice Address - Phone:651-455-0473
Practice Address - Fax:651-455-2355
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MNR0967826163WM1400X, 225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist