NPI 1093407892

Jerry Jack Robb

Practitioner Home Modifications Contractor Loretto, MN

Practice location

Address: 4150 Woodhill Dr, Loretto, MN 55357-9558
Phone: (612) 481-9675

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X

Other Contractor providers in Minnesota →

Registry record

NPI: 1093407892
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 May 2023
Record last updated: 22 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.