Individual
JENNIFER JO EBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 3RD AVE NE, DEVILS LAKE, ND 58301-2113
(701) 230-3223
Mailing address
801 3RD AVE NE, DEVILS LAKE, ND 58301-2113
(701) 230-3223
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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