Individual
JULIE RENEE MITTLEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2430 20TH ST SW STE 8, JAMESTOWN, ND 58401-6208
(701) 952-4787
Mailing address
2430 20TH ST SW STE 8, JAMESTOWN, ND 58401-6208
(701) 952-4787
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L8014
ND
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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